Rebatable OTC Drug List for Maine Medicaid OTC Drugsmainecarepdl.org › sites › default › files › ghs-files › ... · 9/23/2008 · Rebatable OTC Drug List for Maine Medicaid

Rebatable OTC Drug List for Maine Medicaid OTC Drugs

Run Date: 6/17/2008

Note: Some OTC Diabetic Supplies, Nutritionals and Asthma Related DME are covered but not listed.

Most over the counter products are subject to State of Maine Maximum Allowable Cost (SMAC) pricing.

This list is subject to change and will be updated on a regular basis

NDC Product Description

Generic Drug Description

Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

ALTERNATIVE MEDICINES

Coenzyme Q10 Cap 100 MG

GenericWATSON PHARMA, INC. 00536193807 PA REQUIREDCOENZYME Q10 CAP 100MG

Coenzyme Q10 Cap 50 MG

GenericMCKESSON CORPORATION VALU-RITE 49348032644 PA REQUIREDCOENZYME Q10 CAP 50MG

Glucosamine Sulfate Cap 500 MG

GenericGOLDLINE LABORATORIES, INC. 00182404826 PA REQUIREDGLUCOSAMINE CAP 500MG

Glucosamine Sulfate Tab 750 MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385045776 PA REQUIREDGLUCOSAMINE TAB 750MG

Melatonin Tab 3 MG

GenericWATSON PHARMA, INC. 00536641208 PA REQUIREDMELATONIN TAB 3MG

GenericBRECKENRIDGE PHARMACEUTICAL, INC. 51991001406 PA REQUIREDMELATONIN TAB 3MG

ANALGESICS - MISC.

Acetaminophen Cap 500 MG

GenericGEISS, DESTIN & DUNN, INC. 00113087747 PAIN RELIEVE CAP 500MG





GenericMAJOR PHARMACEUTICALS 00904198760 MAPAP CAP 500MG

Acetaminophen Chew Tab 80 MG

GenericGEISS, DESTIN & DUNN, INC. 00113009165 CHILD PN REL CHW 80MG

GenericGOLDLINE LABORATORIES, INC. 00182158517 GENAPAP CHW 80MG

GenericGOLDLINE LABORATORIES, INC. 00182214717 GENAPAP CHW 80MG GRP

GenericWATSON PHARMA, INC. 00536323307 ACETAMIN CHW 80MG

GenericMAJOR PHARMACEUTICALS 00904525646 MAPAP CHW 80MG

GenericSELECT BRAND DISTRIBUTORS 15127083004 SB NON-ASA CHW 80MG FRT

GenericSELECT BRAND DISTRIBUTORS 15127083204 SB NON-ASA CHW 80MG GRP

GenericBERGEN BRUNSWIG DRUG COMPANY 24385009165 PAIN RELIEVR CHW 80MG

GenericMCKESSON CORPORATION VALU-RITE 49348019944 SM NON-ASA CHW 80MG GRP

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614011765 CHLD MEDITAB CHW 80MG

GenericLNK INTERNATIONAL, INC. 50844031801 PAIN RELIEVR CHW 80MG

GenericPRIME MARKETING LLC 62107005330 TACTINAL CHW CHILDREN

Acetaminophen Elixir 160 MG/5ML

GenericWATSON PHARMA, INC. 00536012285 ACETAMIN ELX 160/5ML

GenericWATSON PHARMA, INC. 00536012297 ACETAMIN ELX 160/5ML

GenericMAJOR PHARMACEUTICALS 00904198500 MAPAP ELX 160/5ML


Page 1 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Acetaminophen Elixir 160 MG/5ML


GenericMCKESSON CORPORATION VALU-RITE 49348003634 SM NON-ASA ELX 160/5ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868083954 NON-ASA CHLD ELX 160/5ML

Acetaminophen Liquid 160 MG/5ML

GenericEDWARDS PHARMACEUTICALS, INC. 00485005708 ED-APAP LIQ 80MG/2.5

GenericQUALITEST PHARMACEUTICALS, INC. 00603083954 Q-PAP LIQ 160/5ML





GenericSILARX PHARMACEUTICALS, INC. 54838014440 CHLD SILAPAP LIQ 160/5ML



Acetaminophen Soln 100 MG/ML

GenericGOLDLINE LABORATORIES, INC. 00182147764 GENAPAP DRO 80/0.8ML

GenericGOLDLINE LABORATORIES, INC. 00182600964 INFANTS APAP DRO 80/0.8ML

GenericACTAVIS 00472141799 APAP DRO 80/0.8ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603083873 Q-PAP INFANT DRO 80/0.8ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385031305 INF PAIN REL DRO 80/0.8ML

GenericLEADER 37205000805 ACETAMIN DRO 100MG/ML

GenericMCKESSON CORPORATION VALU-RITE 49348015729 V-R NON-ASA DRO 100MG/ML

GenericSILARX PHARMACEUTICALS, INC. 54838014515 INF SILAPAP DRO 80/0.8ML

GenericSILARX PHARMACEUTICALS, INC. 54838014530 INF SILAPAP DRO 80/0.8ML

Acetaminophen Soln 160 MG/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121065705 ACETAMIN SOL 160/5ML



GenericGOLDLINE LABORATORIES, INC. 00182147337 ACETAMIN SOL 160/5ML

GenericGOLDLINE LABORATORIES, INC. 00182147340 ACETAMIN SOL 160/5ML

Acetaminophen Suppos 120 MG

GenericGOLDLINE LABORATORIES, INC. 00182166211 ACETAMIN SUP 120MG

GenericACTAVIS 00472120106 FEVERALL SUP 120MG



GenericWATSON PHARMA, INC. 00536125512 ACETAMIN SUP 120MG

GenericG&W LABORATORIES, INC 00713011801 ACEPHEN SUP 120MG





GenericPERRIGO PHARMACEUTICALS 45802073230 ACETAMIN SUP 120MG










Page 2 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required




















BrandACTAVIS 00472120006 FEVERALL INF SUP 80MG

BrandACTAVIS 00472120050 FEVERALL INF SUP 80MG

Acetaminophen Susp 160 MG/5ML

GenericGEISS, DESTIN & DUNN, INC. 00113010526 PAIN RELIEVE SUS 160/5ML

GenericGEISS, DESTIN & DUNN, INC. 00113013026 APAP SUS CHILD

GenericGEISS, DESTIN & DUNN, INC. 00113017526 CHILDS APAP SUS 160/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121478105 ACETAMINOPHN SUS 160/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121478111 ACETAMINOPHN SUS 325MG

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121478121 ACETAMINOPHN SUS 650MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603084154 Q-PAP CHILD SUS 160/5ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603084254 Q-PAP CHILD SUS CHERRY

GenericQUALITEST PHARMACEUTICALS, INC. 00603084354 Q-PAP CHILD SUS 160/5ML

GenericMAJOR PHARMACEUTICALS 00904511620 MAPAP CHILD SUS 160/5ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385013026 PAIN RELIEVE SUS 160/5ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385014626 PAIN RELIEVE SUS 160/5ML

GenericLEADER 37205050826 PAIN RELIEVE SUS 160/5ML



GenericMCKESSON CORPORATION VALU-RITE 49348026634 PAIN RELIEVE SUS 160/5ML



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614017526 CHLD MEDITAB SUS 80/2.5ML

GenericBALLAY PHARMACEUTICALS 63162051012 NORTEMP SUS 160/5ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868017526 NON-ASA CHLD SUS 160/5ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868017626 QC NON-ASA SUS CHILDREN

GenericPRECISION DOSE, INC. 68094059358 CHILDS APAP SUS 160/5ML




Acetaminophen Tab 325 MG

GenericGEISS, DESTIN & DUNN, INC. 00113040378 ACETAMIN TAB 325MG

GenericGOLDLINE LABORATORIES, INC. 00182014101 GENEBS TAB 325MG

Page 3 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required



GenericGOLDLINE LABORATORIES, INC. 00182100010 ACETAMIN TAB 325MG



GenericWATSON PHARMA, INC. 00536322201 ACETAMIN TAB 325MG


GenericQUALITEST PHARMACEUTICALS, INC. 00603026321 Q-PAP TAB 325MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603026332 Q-PAP TAB 325MG

GenericUNITED RESEARCH LABORATORIES 00677197401 ACETAMIN TAB 325MG

GenericMAJOR PHARMACEUTICALS 00904198259 MAPAP TAB 325MG




GenericSELECT BRAND DISTRIBUTORS 15127007208 NON-ASPIRIN TAB 325MG


GenericLEADER 37205003178 PAIN RELIEVE TAB 325MG

GenericMCKESSON CORPORATION VALU-RITE 49348000910 PAIN RELIEVE TAB 325MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614011878 MEDI-TABS TAB 325MG

GenericUDL LABORATORIES, INC. 51079000201 ACETAMIN TAB 325MG






GenericGEMINI PHARMACEUTICALS, INC. 51645070301 ACETAMIN TAB 325MG



GenericPRIME MARKETING LLC 62107005201 TACTINAL TAB 325MG


GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739000201 ACETAMIN TAB 325MG






GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868031410 NON-ASPIRIN TAB 325MG

GenericAKYMA PHARMACEUTICALS LLC 65162035005 ACETAMIN TAB 325MG













GenericGOLDLINE LABORATORIES, INC. 00182145701 GENAPAP TAB 500MG

Page 4 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required




GenericGOLDLINE LABORATORIES, INC. 00182215201 GENAPAP TAB 500MG ES






GenericQUALITEST PHARMACEUTICALS, INC. 00603026521 Q-PAP EX STR TAB 500MG














GenericMAJOR PHARMACEUTICALS 00904581651 MAPAP TAB 500MG/RR

GenericMAJOR PHARMACEUTICALS 00904581660 MAPAP TAB 500MG/RR













GenericPHARBEST PHARMACEUTICALS, INC. 16103037608 PHARBETOL TAB 500MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385040572 PAIN RELIEVE TAB 500MG












GenericLEADER 37205048878 EX STR PAIN TAB RELIEVER

GenericMCKESSON CORPORATION VALU-RITE 49348002310 PAIN RELIEVE TAB 500MG ES

Page 5 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required














































Acetaminophen Tab CR 650 MG

GenericMAJOR PHARMACEUTICALS 00904576960 MAPAP ARTHRI TAB 650MG

GenericLEADER 37205003471 ARTH PAIN RE TAB 650MG

GenericLEADER 37205003478 ARTH PAIN RE TAB 650MG

GenericLEADER 37205047778 8 HOUR PAIN TAB 650MG

GenericMCKESSON CORPORATION VALU-RITE 49348070409 SM ARTHRITIS TAB 650MG

Page 6 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Acetaminophen Tab CR 650 MG

GenericMCKESSON CORPORATION VALU-RITE 49348070410 SM ARTHRITIS TAB 650MG

GenericMCKESSON CORPORATION VALU-RITE 49348070509 SM PAIN REL TAB 8 HOUR

GenericMCKESSON CORPORATION VALU-RITE 49348070510 SM PAIN REL TAB 8 HOUR

GenericOHM PHARMACEUTICALS, INC. 51660033350 ARTHRTS PAIN TAB 650MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868008901 QC ARTHRITIS TAB 650MG CR


GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868008950 QC ARTHRITIS TAB 650MG CR

Aspirin Buffered (Ca Carb-Mg Carb-Mg Ox) Tab 325 MG

BrandNOVARTIS CONSUMER HEALTH, INC. 00067206313 BUFFERIN TAB 325MG

BrandNOVARTIS CONSUMER HEALTH, INC. 00067206365 BUFFERIN TAB 325MG

GenericGOLDLINE LABORATORIES, INC. 00182190901 BUFFERED ASA TAB 325MG

GenericGOLDLINE LABORATORIES, INC. 00182190910 BUFFERED ASA TAB 325MG

GenericMAJOR PHARMACEUTICALS 00904201559 TRI-BUFF ASA TAB 325MG

GenericLEADER 37205015078 BUFFERED ASA TAB 325MG

Aspirin Chew Tab 81 MG

GenericGEISS, DESTIN & DUNN, INC. 00113025968 ASPIRIN CHW 81MG

GenericGEISS, DESTIN & DUNN, INC. 00113027468 CHILD ASA CHW 81MG

GenericGEISS, DESTIN & DUNN, INC. 00113046768 CHILD ASA CHW 81MG

GenericGOLDLINE LABORATORIES, INC. 00182142095 CHILD ASA CHW 81MG

GenericWATSON PHARMA, INC. 00536329736 ASPIRIN CHW 81MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603002436 ASPIRIN CHLD CHW 81MG

GenericMAJOR PHARMACEUTICALS 00904404073 ASPIRIN CHW 81MG

GenericSELECT BRAND DISTRIBUTORS 15127024136 SB CHLD ASA CHW 81MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385027868 CHILD ASA CHW 81MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385036468 ADULT ASA CHW 81MG

GenericLEADER 37205036968 ASPIRIN CHW 81MG

GenericLEADER 37205046768 CHILD ASA CHW 81MG

GenericLEADER 37205070868 CHILD ASA CHW 81MG

GenericMCKESSON CORPORATION VALU-RITE 49348019107 SM ASA CHLD CHW 81MG

GenericMCKESSON CORPORATION VALU-RITE 49348049807 SM ASPIRIN CHW 81MG

GenericMCKESSON CORPORATION VALU-RITE 49348075707 SM ASA CHLD CHW 81MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046767 CHILD ASA CHW 81MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046768 CHILD ASA CHW 81MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046867 CHILD'S ASA CHW 81MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046868 CHILD'S ASA CHW 81MG

GenericPRIME MARKETING LLC 62107002636 CHILD ASA LS CHW 81MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739002501 ASPIRIN CHW 81MG




GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868024136 QC CHILD'S CHW ASPIRIN

Aspirin Tab 325 MG

GenericGEISS, DESTIN & DUNN, INC. 00113041678 ASPIRIN TAB 325MG



GenericGOLDLINE LABORATORIES, INC. 00182044401 ASPIRIN TAB 325MG

GenericGOLDLINE LABORATORIES, INC. 00182044410 ASPIRIN TAB 325MG

GenericWATSON PHARMA, INC. 00536330501 ASPIRIN TAB 325MG

GenericWATSON PHARMA, INC. 00536330510 ASPIRIN TAB 325MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603003121 ASPIRIN TAB 325MG

Page 7 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Aspirin Tab 325 MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603003125 ASPIRIN TAB 325MG

GenericMAJOR PHARMACEUTICALS 00904200940 ASPIRIN TAB 325MG





GenericSELECT BRAND DISTRIBUTORS 15127073801 SB ASPIRIN TAB 325MG






GenericBERGEN BRUNSWIG DRUG COMPANY 24385041687 ASPIRIN TAB 325MG

GenericLEADER 37205014578 ASPIRIN TAB 325MG

GenericLEADER 37205014587 ASPIRIN TAB 325MG

GenericMCKESSON CORPORATION VALU-RITE 49348000110 SM ASPIRIN TAB 325MG

GenericMCKESSON CORPORATION VALU-RITE 49348000114 SM ASPIRIN TAB 325MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614041678 ASPIRIN TAB 325MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614041687 ASPIRIN TAB 325MG

GenericGEMINI PHARMACEUTICALS, INC. 51645071601 ASPIRIN TAB 325MG


GenericPRIME MARKETING LLC 62107002507 ASPIRIN TAB 325MG

GenericPRIME MARKETING LLC 62107002532 ASPIRIN TAB 325MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739002401 ASPIRIN TAB 325MG




GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868035203 QC ASPIRIN TAB 325MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868035250 QC ASPIRIN TAB 325MG

Aspirin Tab Delayed Release 325 MG

GenericGEISS, DESTIN & DUNN, INC. 00113042978 ASPIRIN TAB 325MG EC


BrandGLAXOSMITHKLINE 00135001427 ECOTRIN TAB 325MG EC

BrandGLAXOSMITHKLINE 00135001430 ECOTRIN TAB 325MG EC

GenericGOLDLINE LABORATORIES, INC. 00182044801 ASPIRIN TAB 325MG EC



GenericGOLDLINE LABORATORIES, INC. 00182141501 GENACOTE TAB 325MG EC

GenericWATSON PHARMA, INC. 00536331301 ASPIRIN EC TAB 325MG



GenericQUALITEST PHARMACEUTICALS, INC. 00603016821 ASPIRIN TAB 325MG EC




GenericMAJOR PHARMACEUTICALS 00904201159 ASPIRIN TAB 325MG EC




GenericSELECT BRAND DISTRIBUTORS 15127001105 SB ASPIRIN TAB 325MG EC

Page 8 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericSELECT BRAND DISTRIBUTORS 15127076008 SB ASPIRIN TAB 325MG EC

GenericBERGEN BRUNSWIG DRUG COMPANY 24385042990 ASPIRIN TAB 325MG EC

GenericLEADER 37205042978 ASPIRIN TAB 325MG EC

GenericLEADER 37205042990 ASPIRIN TAB 325MG EC

GenericMCKESSON CORPORATION VALU-RITE 49348003482 SM ASPIRIN TAB 325MG EC


GenericTIME-CAP LABS, INC. 49483005201 ASPIRIN TAB 325MG EC


GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614011378 ASPIRIN TAB 325MG EC

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614011385 ASPIRIN TAB 325MG EC

GenericLNK INTERNATIONAL, INC. 50844022712 EQ ASPIRIN TAB 325MG EC

GenericGEMINI PHARMACEUTICALS, INC. 51645071401 ASPIRIN EC TAB 325MG

GenericGEMINI PHARMACEUTICALS, INC. 51645071410 ASPIRIN EC TAB 325MG

GenericPRIME MARKETING LLC 62107002801 ECPIRIN TAB 325MG EC

GenericPRIME MARKETING LLC 62107002832 ECPIRIN TAB 325MG EC

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739002301 ASPIRIN TAB 325MG EC


GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868035210 ASPIRIN TAB 325MG EC



GenericGLAXOSMITHKLINE 00135011701 ECOTRIN LOW TAB 81MG EC








GenericWATSON PHARMA, INC. 00536308610 ASPIRIN TAB 81MG EC

GenericWATSON PHARMA, INC. 00536308641 ASPIRIN TAB 81MG EC

GenericQUALITEST PHARMACEUTICALS, INC. 00603002622 ASA LOW DOSE TAB 81MG EC

GenericQUALITEST PHARMACEUTICALS, INC. 00603002632 ASA LOW DOSE TAB 81MG EC

GenericUNITED RESEARCH LABORATORIES 00677197210 ASPIRIN TAB 81MG EC

GenericMAJOR PHARMACEUTICALS 00904770418 ASPIR-LOW TAB 81MG EC



GenericSELECT BRAND DISTRIBUTORS 15127022894 SB ASA LOW TAB 81MG EC

GenericBERGEN BRUNSWIG DRUG COMPANY 24385053587 ASA LOW STR TAB 81MG EC

GenericLEADER 37205051076 ASA LO-DOSE TAB 81MG EC

GenericLEADER 37205051087 ASA LO-DOSE TAB 81MG EC







GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614053531 ADLT ASA LOW TAB 81MG EC

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614053576 ADLT ASA LOW TAB 81MG EC



Page 9 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericPRIME MARKETING LLC 62107002726 ASPIR-81 TAB 81MG EC

GenericPRIME MARKETING LLC 62107002732 ASPIR-81 TAB 81MG EC





GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868036103 LO-DOSE ASA TAB 81MG EC

GenericAKYMA PHARMACEUTICALS LLC 65162024111 ASPIRIN TAB 81MG EC

GenericAKYMA PHARMACEUTICALS LLC 65162024116 ASPIRIN TAB 81MG EC

Aspirin-Acetaminophen-Caffeine Tab 250-250-65 MG

BrandNOVARTIS CONSUMER HEALTH, INC. 00067200024 EXCEDRIN TAB EX ST









BrandNOVARTIS CONSUMER HEALTH, INC. 00067203524 EXCEDRIN TAB MIGRAINE








GenericGEISS, DESTIN & DUNN, INC. 00113037462 MIGRAINE TAB RELIEF

GenericGEISS, DESTIN & DUNN, INC. 00113037478 MIGRAINE TAB RELIEF

GenericGEISS, DESTIN & DUNN, INC. 00113043071 HEADACHE REL TAB

GenericGEISS, DESTIN & DUNN, INC. 00113043078 HEADACHE REL TAB

GenericGOLDLINE LABORATORIES, INC. 00182145501 GENACED TAB

GenericMAJOR PHARMACEUTICALS 00904513559 PAIN RELIEVR TAB PLUS

GenericSELECT BRAND DISTRIBUTORS 15127085708 PAIN RELIEF TAB X-STR

GenericBERGEN BRUNSWIG DRUG COMPANY 24385036578 MIGRAINE TAB FORMULA

GenericBERGEN BRUNSWIG DRUG COMPANY 24385043078 PAIN RELIEVR TAB ADDED ST

GenericLEADER 37205028062 MIGRAINE TAB FORMULA

GenericLEADER 37205028078 MIGRAINE TAB FORMULA

GenericLEADER 37205070378 HEADACHE FOR TAB ADDED ST

GenericMCKESSON CORPORATION VALU-RITE 49348029309 SM HEADACHE TAB ADDED ST

GenericMCKESSON CORPORATION VALU-RITE 49348050610 SM MIGRAINE TAB RELIEF

GenericMCKESSON CORPORATION VALU-RITE 49348072210 SM HEADACHE TAB ADDED ST

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614011471 HEADACHE REL TAB ADD STR

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614011478 HEADACHE REL TAB ADD STR

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868048501 PAIN RELIEVR TAB PLUS

ANTIASTHMATIC - NASAL MISC.

Cromolyn Sodium Nasal Aerosol Soln 5.2 MG/ACT (4%)

BrandPFIZER, INC 00009770901 NASALCROM SPR 5.2/ACT

BrandPFIZER, INC 00009770902 NASALCROM SPR 5.2/ACT

GenericLEADER 37205022361 CROMOLYN SOD SPR

Page 10 of 58RT19509



Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Cromolyn Sodium Nasal Aerosol Soln 5.2 MG/ACT (4%)

GenericBAUSCH & LOMB INC. 57782039726 CROMOLYN SOD SPR 5.2/ACT

Saline Nasal Spray 0.65%

GenericGEISS, DESTIN & DUNN, INC. 00113031213 SALINE NASAL SPR 0.65%

GenericGOLDLINE LABORATORIES, INC. 00182613577 NASAL SPR 0.65%

GenericB. F. ASCHER AND COMPANY, INC. 00225038080 AYR SPR 0.65%

GenericB. F. ASCHER AND COMPANY, INC. 00225055050 BABY AYR SPR 0.65%

BrandFLEMING AND COMPANY 00256015201 OCEAN NASAL SPR 0.65%

BrandFLEMING AND COMPANY 00256015202 OCEAN NASAL SPR 0.65%

GenericFLEMING AND COMPANY 00256021101 OCEAN KIDS SPR 0.65%

GenericWATSON PHARMA, INC. 00536250676 SALINE MIST SPR 0.65%

GenericQUALITEST PHARMACEUTICALS, INC. 00603038046 SEA SOFT SPR 0.65%

GenericMAJOR PHARMACEUTICALS 00904386575 DEEP SEA SPR 0.65%

GenericLEADER 37205093013 SALINE NASAL SPR 0.65%

GenericLEADER 37205093021 SALINE NASAL SPR 0.65%

GenericPERRIGO PHARMACEUTICALS 45802035758 SALINE MIST SPR 0.65%

GenericMCKESSON CORPORATION VALU-RITE 49348035625 NASAL SALINE SPR 0.65%

GenericMCKESSON CORPORATION VALU-RITE 49348035984 NASAL SALINE SPR 0.65%

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614031213 SALINE NASAL SPR 0.65%

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868005730 SALINE NASAL SPR 0.65%

ANTIEMETIC - ANTICHOLINERGIC / DOPAMINERGIC

Meclizine HCl Chew Tab 25 MG

GenericWATSON PHARMA, INC. 00536399001 MECLIZINE CHW 25MG

Meclizine HCl Tab 12.5 MG

GenericWATSON PHARMA, INC. 00536398501 MECLIZINE TAB 12.5MG

GenericSANDOZ 00781134501 MECLIZINE TAB 12.5MG

Meclizine HCl Tab 25 MG

GenericSANDOZ 00781137501 MECLIZINE TAB 25MG

GenericMCKESSON CORPORATION VALU-RITE 49348036367 MOTION SICK TAB 25MG

ANTIHISTAMINES - NON-SEDATING

Cetirizine HCl Tab 10 MG

GenericMYLAN PHARMACEUTICALS, INC. 00378363701 CETIRIZINE TAB 10MG



GenericMAJOR PHARMACEUTICALS 00904582941 ALL DAY ALLG TAB 10MG




GenericPERRIGO PHARMACEUTICALS 45802091987 CETIRIZINE TAB 10MG

GenericUDL LABORATORIES, INC. 51079059701 CETIRIZINE TAB 10MG

GenericUDL LABORATORIES, INC. 51079059720 CETIRIZINE TAB 10MG

GenericOHM PHARMACEUTICALS, INC. 51660093830 CETIRIZINE TAB 10MG



GenericCARACO PHARMACEUTICAL LABORATORIES LTD 57664054188 CETIRIZINE TAB 10MG

GenericAPOTEX CORP. 60505263301 CETIRIZINE TAB 10MG

GenericAMERICAN HEALTH PACKAGING 68084026501 CETIRIZINE TAB 10MG







Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericCARACO PHARMACEUTICAL LABORATORIES LTD 57664054088 CETIRIZINE TAB 5MG

GenericAPOTEX CORP. 60505263201 CETIRIZINE TAB 5MG

Loratadine Rapidly-Disintegrating Tab 10 MG

GenericA. H. ROBINS 00031228810 PA REQUIREDDIMETAPP ND TAB 10MG

GenericGEISS, DESTIN & DUNN, INC. 00113031152 PA REQUIREDALLERGY RELF TAB 10MG

GenericGEISS, DESTIN & DUNN, INC. 00113082462 PA REQUIREDALLERGY RELF TAB 10MG

GenericWHITEHALL-ROBINS 00573262006 PA REQUIREDALAVERT TAB 10MG






GenericMAJOR PHARMACEUTICALS 00904580615 PA REQUIREDCLEAR-ATADIN TAB 10MG

BrandSCHERING HEALTHCARE PRODUCTS 11523715701 PA REQUIREDCLARITIN RDT TAB 10MG





GenericLEADER 37205038153 PA REQUIREDALLERGY RELF TAB 10MG




GenericMCKESSON CORPORATION VALU-RITE 49348063401 PA REQUIREDALLERGY RELF TAB 10MG





GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614017652 PA REQUIREDLORATADINE TAB ALLG REL

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868015710 PA REQUIREDALLERGY RELF TAB 10MG

Loratadine Syrup 10 MG/10ML

BrandSCHERING HEALTHCARE PRODUCTS 11523716301 CLARITIN SYP 5MG/5ML



Loratadine Tab 10 MG

GenericNOVARTIS CONSUMER HEALTH, INC. 00067607010 LORATADINE TAB 10MG

GenericNOVARTIS CONSUMER HEALTH, INC. 00067607030 LORATADINE TAB 10MG

GenericNOVARTIS CONSUMER HEALTH, INC. 00067611710 ALLERGY RELF TAB 10MG

GenericNOVARTIS CONSUMER HEALTH, INC. 00067611730 ALLERGY RELF TAB 10MG

GenericWHITEHALL-ROBINS 00573264515 ALAVERT TAB 10MG

GenericWHITEHALL-ROBINS 00573264530 ALAVERT TAB 10MG

GenericSANDOZ 00781507701 LORATADINE TAB 10MG

GenericMAJOR PHARMACEUTICALS 00904572815 CLEAR-ATADIN TAB 10MG



GenericMAJOR PHARMACEUTICALS 00904579361 LORATADINE TAB 10MG

BrandSCHERING HEALTHCARE PRODUCTS 11523716001 CLARITIN TAB 10MG








Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Loratadine Tab 10 MG


GenericBERGEN BRUNSWIG DRUG COMPANY 24385047165 LORATADINE TAB 10MG

GenericLEADER 37205034652 LORATADINE TAB 10MG





GenericMCKESSON CORPORATION VALU-RITE 49348081801 ALLERGY RELF TAB 10MG




GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614017052 LORATADINE TAB 10MG





GenericUDL LABORATORIES, INC. 51079013201 LORATADINE TAB 10MG

GenericUDL LABORATORIES, INC. 51079013220 LORATADINE TAB 10MG

GenericOHM PHARMACEUTICALS, INC. 51660052601 ALLERGY RELF TAB 10MG





GenericAPOTEX CORP. 60505014701 LORATADINE TAB 10MG

GenericAPOTEX CORP. 60505014708 LORATADINE TAB 10MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868015101 LORATADINE TAB 10MG




GenericVISION PHARMA, LLC 68013001701 LORATADINE TAB 10MG

ANTIHISTAMINES - OTHER

Chlorpheniramine Maleate Syrup 2 MG/5ML

GenericWATSON PHARMA, INC. 00536037097 ALLER-CHLOR SYP 2MG/5ML

Chlorpheniramine Maleate Tab 4 MG

GenericGEISS, DESTIN & DUNN, INC. 00113046362 CHLORPHENIR TAB 4MG

GenericGEISS, DESTIN & DUNN, INC. 00113046378 CHLORPHENIR TAB 4MG

GenericGOLDLINE LABORATORIES, INC. 00182047101 CHLORPHENIR TAB 4MG

GenericGOLDLINE LABORATORIES, INC. 00182047110 CHLORPHENIR TAB 4MG

GenericWATSON PHARMA, INC. 00536346701 ALLER-CHLOR TAB 4MG



GenericMAJOR PHARMACEUTICALS 00904001224 ALLERGY TAB 4MG



GenericCONTRACT PHARMACAL CORP 10267099701 CHLORPHENIR TAB 4MG

GenericCONTRACT PHARMACAL CORP 10267099704 CHLORPHENIR TAB 4MG

GenericSELECT BRAND DISTRIBUTORS 15127001601 CHLORPHENIR TAB 4MG

GenericSELECT BRAND DISTRIBUTORS 15127082109 SB CHLORPHEN TAB 4MG

GenericLEADER 37205021562 ALLERGY TAB 4MG

GenericLEADER 37205021578 ALLERGY TAB 4MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Chlorpheniramine Maleate Tab 4 MG

GenericMCKESSON CORPORATION VALU-RITE 49348002504 SM ALLERGY TAB 4MG

GenericMCKESSON CORPORATION VALU-RITE 49348002510 SM ALLERGY TAB 4MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046362 ALLERGY TAB 4MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046378 ALLERGY TAB 4MG

GenericUDL LABORATORIES, INC. 51079016301 CHLORPHENIR TAB 4MG

GenericUDL LABORATORIES, INC. 51079016320 CHLORPHENIR TAB 4MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868082601 CHLOR-PHENIR TAB 4MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868082624 CHLOR-PHENIR TAB 4MG

GenericAKYMA PHARMACEUTICALS LLC 65162011610 CHLORPHENIR TAB 4MG

GenericAKYMA PHARMACEUTICALS LLC 65162011611 CHLORPHENIR TAB 4MG

Clemastine Fumarate Tab 1.34 MG (1 MG Base Equiv)

GenericSANDOZ 00781135801 CLEMASTINE TAB 1.34MG

Diphenhydramine HCl Cap 25 MG

GenericGEISS, DESTIN & DUNN, INC. 00113046262 DIPHEDRYL CAP 25MG

GenericGOLDLINE LABORATORIES, INC. 00182209201 GENAHIST CAP 25MG

GenericGOLDLINE LABORATORIES, INC. 00182209216 GENAHIST CAP 25MG

GenericEON LABS, INC. 00185064801 DIPHENHYDRAM CAP 25MG


GenericWATSON PHARMA, INC. 00536359401 DIPHENHIST CAP 25MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603024118 Q-DRYL CAP 25MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603333921 DIPHENHYDRAM CAP 25MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603333932 DIPHENHYDRAM CAP 25MG

GenericMAJOR PHARMACEUTICALS 00904203524 BANOPHEN CAP 25MG

GenericMAJOR PHARMACEUTICALS 00904203559 BANOPHEN CAP 25MG

GenericMAJOR PHARMACEUTICALS 00904530660 DIPHENHYDRAM CAP 25MG



GenericCONTRACT PHARMACAL CORP 10267083501 DIPHENHYDRAM CAP 25MG


GenericSELECT BRAND DISTRIBUTORS 15127028324 SB ALLERGY CAP 25MG

GenericSELECT BRAND DISTRIBUTORS 15127028348 SB ALLERGY CAP 25MG

GenericPHARBEST PHARMACEUTICALS, INC. 16103034811 PHARBEDRYL CAP 25MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385046278 DIPHEDRYL CAP 25MG

GenericLEADER 37205027762 COMP ALLERGY CAP 25MG

GenericLEADER 37205027778 COMP ALLERGY CAP 25MG

GenericMCKESSON CORPORATION VALU-RITE 49348004404 ALLERGY RELF CAP 25MG



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046262 MEDI-PHEDRYL CAP 25MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046278 MEDI-PHEDRYL CAP 25MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868008701 COMP ALLERGY CAP 25MG



GenericAKYMA PHARMACEUTICALS LLC 65162051610 DIPHENHYDRAM CAP 25MG


GenericSDA LABORATORIES 66424002001 DIPHENHYDRAM CAP 25MG








Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required






GenericPHARBEST PHARMACEUTICALS, INC. 16103034711 PHARBEDRYL CAP 50MG





Diphenhydramine HCl Elixir 12.5 MG/5ML

GenericGOLDLINE LABORATORIES, INC. 00182616837 HYDRAMINE ELX 12.5/5ML

GenericGOLDLINE LABORATORIES, INC. 00182616840 HYDRAMINE ELX 12.5/5ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385037926 DIPHEDRYL ELX 12.5/5ML

GenericLEADER 37205056526 COMP ALLERGY ELX 12.5/5ML

GenericLEADER 37205056534 COMP ALLERGY ELX 12.5/5ML

GenericMCKESSON CORPORATION VALU-RITE 49348004534 ALLERGY RELF ELX 12.5/5ML

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614037926 MEDI-PHEDRYL ELX 12.5/5ML

Diphenhydramine HCl Liquid 12.5 MG/5ML

GenericGOLDLINE LABORATORIES, INC. 00182200137 GENAHIST LIQ 12.5/5ML

GenericWATSON PHARMA, INC. 00536077085 DIPHENHIST LIQ 12.5/5ML

GenericWATSON PHARMA, INC. 00536077097 DIPHENHIST LIQ 12.5/5ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603082354 Q-DRYL LIQ




GenericMAJOR PHARMACEUTICALS 00904122800 BANOPHEN LIQ 12.5/5ML



GenericSELECT BRAND DISTRIBUTORS 15127050404 SB ALLERGY LIQ 12.5/5ML

GenericMCKESSON CORPORATION VALU-RITE 49348020537 SM ALLERGY LIQ RELIEF

GenericSILARX PHARMACEUTICALS, INC. 54838013540 SILADRYL LIQ ALLERGY



GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868082354 CHLD ALLERGY LIQ 12.5/5ML

Diphenhydramine HCl Syrup 12.5 MG/5ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603086054 QUENALIN SYP 12.5/5ML

GenericSILARX PHARMACEUTICALS, INC. 54838015440 SILPHEN COUG SYP 12.5/5ML



Diphenhydramine HCl Tab 25 MG

GenericGEISS, DESTIN & DUNN, INC. 00113047962 DIPHEDRYL TAB 25MG

GenericGEISS, DESTIN & DUNN, INC. 00113047978 DIPHEDRYL TAB 25MG

GenericGOLDLINE LABORATORIES, INC. 00182209116 GENAHIST TAB 25MG

GenericWATSON PHARMA, INC. 00536359701 DIPHENHIST TAB 25MG

GenericMAJOR PHARMACEUTICALS 00904555124 BANOPHEN TAB 25MG

GenericMAJOR PHARMACEUTICALS 00904555159 BANOPHEN TAB 25MG

GenericSELECT BRAND DISTRIBUTORS 15127020524 SB ALLERGY TAB 25MG MED

GenericBERGEN BRUNSWIG DRUG COMPANY 24385047978 DIPHEDRYL TAB 25MG

GenericLEADER 37205027062 COMP ALLERGY TAB 25MG

GenericLEADER 37205027078 COMP ALLERGY TAB 25MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Diphenhydramine HCl Tab 25 MG

GenericMCKESSON CORPORATION VALU-RITE 49348037508 SM ALLERGY TAB 25MG RLF



GenericTIME-CAP LABS, INC. 49483006101 DIPHENHYDRAM TAB 25MG

GenericTIME-CAP LABS, INC. 49483006110 DIPHENHYDRAM TAB 25MG

GenericUDL LABORATORIES, INC. 51079096701 DIPHENHYDRAM TAB 25MG




GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868050001 COMP ALLERGY TAB 25MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868050024 COMP ALLERGY TAB 25MG

GenericAKYMA PHARMACEUTICALS LLC 65162015610 DIPHENHYDRAM TAB 25MG

GenericAKYMA PHARMACEUTICALS LLC 65162015611 DIPHENHYDRAM TAB 25MG

Loratadine Syrup 10 MG/10ML

GenericMAJOR PHARMACEUTICALS 00904572720 CLEAR-ATADIN SYP 5MG/5ML

GenericLEADER 37205037826 ALLERGY RELF SYP CHILD

GenericMCKESSON CORPORATION VALU-RITE 49348063634 SM LORATADIN SYP 5MG/5ML

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614017426 LORATADINE SYP ALLG REL

GenericTARO PHARMACEUTICALS USA, INC. 51672207308 LORATADINE SYP 5MG/5ML

GenericTARO PHARMACEUTICALS USA, INC. 51672208508 LORATADINE SYP 5MG/5ML

GenericSILARX PHARMACEUTICALS, INC. 54838053840 LORATADINE SOL 5MG/5ML

ARTIFICIAL SALIVA/STIMULANTS

*Artificial Saliva - Solution***

BrandROXANE LABORATORIES, INC. 00054376950 SALIVA SUBST SOL

COUGH/COLD

Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML

BrandA. H. ROBINS 00031868512 ROBITUSSIN SYP DM




GenericGEISS, DESTIN & DUNN, INC. 00113035926 TUSSIN DM SYP 100-10/5

GenericGEISS, DESTIN & DUNN, INC. 00113035934 TUSSIN DM SYP 100-10/5

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121063804 GUAIFENESIN SYP DM





GenericGOLDLINE LABORATORIES, INC. 00182223637 GENATUSS DM SYP 100-10/5

GenericGOLDLINE LABORATORIES, INC. 00182606437 GUIATUSS DM SYP 100-10/5



GenericWATSON PHARMA, INC. 00536097085 GG/DM SYP 100-10/5

GenericWATSON PHARMA, INC. 00536097097 GG/DM SYP 100-10/5

GenericQUALITEST PHARMACEUTICALS, INC. 00603085554 Q-TUSSIN SYP DM





GenericMAJOR PHARMACEUTICALS 00904005300 ROBAFEN DM SYP 100-10/5




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML






GenericLEADER 37205097026 TUSSIN DM SYP 100-10/5

GenericLEADER 37205097034 TUSSIN DM SYP 100-10/5

GenericMCKESSON CORPORATION VALU-RITE 49348001734 SM TUSSIN DM SYP 10-100/5

GenericMCKESSON CORPORATION VALU-RITE 49348001737 SM TUSSIN DM SYP 10-100/5

GenericMCKESSON CORPORATION VALU-RITE 49348029598 SM TUSSIN DM SYP

GenericMCKESSON CORPORATION VALU-RITE 49348086134 SM TUSSIN SYP DM CLEAR

GenericMCKESSON CORPORATION VALU-RITE 49348086137 SM TUSSIN SYP DM CLEAR

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614031134 MEDI-TUSSIN SYP DM

GenericSILARX PHARMACEUTICALS, INC. 54838020940 SILTUSSIN-DM SYP ALC FREE



GenericANIP ACQUISITION COMPANY 62559368001 TUSSIN DM SYP

GenericANIP ACQUISITION COMPANY 62559368303 TUSSIN DM SYP

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868085554 TUSSIN DM SYP 100-10/5

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868085556 TUSSIN DM SYP 100-10/5

Guaifenesin Syrup 100 MG/5ML

BrandA. H. ROBINS 00031862412 ROBITUSSIN SYP CHST CNG

BrandA. H. ROBINS 00031862418 ROBITUSSIN SYP CHST CNG

GenericGEISS, DESTIN & DUNN, INC. 00113031026 TUSSIN COUGH SYP 100/5ML

GenericGEISS, DESTIN & DUNN, INC. 00113031034 TUSSIN COUGH SYP 100/5ML

GenericGOLDLINE LABORATORIES, INC. 00182025937 GUIATUSS SYP 100/5ML

GenericGOLDLINE LABORATORIES, INC. 00182025940 GUIATUSS SYP 100/5ML

GenericWATSON PHARMA, INC. 00536082585 GUAIFENESIN SYP 100/5ML

GenericWATSON PHARMA, INC. 00536082597 GUAIFENESIN SYP 100/5ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603085754 Q-TUSSIN SYP 100/5ML





GenericMAJOR PHARMACEUTICALS 00904006100 ROBAFEN SYP 100/5ML




GenericSELECT BRAND DISTRIBUTORS 15127094044 COUGH CONTRL SYP 100/5ML

GenericSELECT BRAND DISTRIBUTORS 15127094048 COUGH CONTRL SYP 100/5ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385031026 TUSSIN EXP SYP 100/5ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385031034 TUSSIN EXP SYP 100/5ML

GenericLEADER 37205096026 TUSSIN SYP 100/5ML

GenericLEADER 37205096034 TUSSIN SYP 100/5ML

GenericMCKESSON CORPORATION VALU-RITE 49348020334 SM PEDIATRIC SYP 100/5ML

GenericMCKESSON CORPORATION VALU-RITE 49348027834 SM TUSSIN SYP 100/5ML

GenericMCKESSON CORPORATION VALU-RITE 49348027837 SM TUSSIN SYP 100/5ML

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614031034 MEDI-TUSSIN SYP 100/5ML

GenericSILARX PHARMACEUTICALS, INC. 54838011740 SILTUSSIN SA SYP 100/5ML





Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Guaifenesin Syrup 100 MG/5ML


GenericANIP ACQUISITION COMPANY 62559378001 TUSSIN SYP 100/5ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868085754 TUSSIN SYP 100/5ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868085756 TUSSIN SYP 100/5ML

Pseudoephedrine HCl Cap SR 12HR 120 MG

GenericLEADER 37205044652 DECONGESTANT CAP 120MG CR

Pseudoephedrine HCl Liq 30 MG/5ML

GenericWATSON PHARMA, INC. 00536185097 NASAL DECONG LIQ 30MG/5ML

Pseudoephedrine HCl Syrup 30 MG/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121042104 PSEUDOEPHEDR SYP 30MG/5ML

GenericWATSON PHARMA, INC. 00536185085 PSEUDOEPHEDR SYP 30MG/5ML

Pseudoephedrine HCl Tab 30 MG

GenericROXANE LABORATORIES, INC. 00054474325 PSEUDOEPHEDR TAB 30MG

GenericGEISS, DESTIN & DUNN, INC. 00113043262 PSEUDOEPHEDR TAB 30MG

GenericGOLDLINE LABORATORIES, INC. 00182145998 GENAPHED TAB 30MG

GenericWATSON PHARMA, INC. 00536439135 PSEUDOEPHEDR TAB 30MG

GenericSANDOZ 00781153301 PSEUDOEPHEDR TAB 30MG

GenericMAJOR PHARMACEUTICALS 00904505324 SUDOGEST TAB 30MG


GenericBERGEN BRUNSWIG DRUG COMPANY 24385043262 SUPHEDRIN TAB 30MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385043280 SUPHEDRIN TAB 30MG

GenericLEADER 37205044562 PSEUDOEPHEDR TAB 30MG

GenericLEADER 37205044580 PSEUDOEPHEDR TAB 30MG

GenericMCKESSON CORPORATION VALU-RITE 49348002404 SM NASAL DEC TAB 30MG



GenericTIME-CAP LABS, INC. 49483001624 PSEUDOEPHEDR TAB 30MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614043262 MEDI-PHEDRIN TAB 30MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614043280 MEDI-PHEDRIN TAB 30MG

GenericPRIME MARKETING LLC 62107000601 SUDOPHED TAB 30MG

GenericPRIME MARKETING LLC 62107000624 SUDOPHED TAB 30MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868014624 SUPHEDRINE TAB 30MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868014648 SUPHEDRINE TAB 30MG

Pseudoephedrine HCl Tab 60 MG

GenericROXANE LABORATORIES, INC. 00054474425 PSEUDOEPHEDR TAB 60MG

GenericSANDOZ 00781153501 PSEUDOEPHEDR TAB 60MG



DENTAL PRODUCTS

Sodium Fluoride Rinse 0.044%

BrandCOLGATE ORAL PHARMACEUTICALS, INC. 00126013516 PHOS FLUR SOL 0.044%




Stannous Fluoride Gel 0.4%

BrandCOLGATE ORAL PHARMACEUTICALS, INC. 00126016593 GEL-KAM GEL 0.4%








Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Stannous Fluoride Gel 0.4%



EAR

Carbamide Peroxide 6.5% Otic Soln

BrandGLAXOSMITHKLINE 00135009163 DEBROX SOL 6.5% OT

GenericGOLDLINE LABORATORIES, INC. 00182602464 EAR DROPS SOL 6.5% OT

GenericWATSON PHARMA, INC. 00536300094 EAR WAX DROP SOL 6.5% OT

GenericMAJOR PHARMACEUTICALS 00904322035 EAR DROPS SOL 6.5% OT

GenericSELECT BRAND DISTRIBUTORS 15127011501 SB EAR WAX DRO 6.5% OT

GenericBERGEN BRUNSWIG DRUG COMPANY 24385095501 EAR DROPS SOL 6.5% OT

GenericLEADER 37205045705 EAR WAX DROP SOL 6.5% OT

GenericLEADER 37205045803 EAR WAX REMO SOL 6.5% OT

GenericMCKESSON CORPORATION VALU-RITE 49348039529 SM EAR DROPS SOL 6.5% OT

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614014805 EAR WAX REMO SOL 6.5% OT

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614020405 EAR DROPS SOL 6.5% OT

GenericPRIME MARKETING LLC 62107000984 H.E.A.R. SOL 6.5% OT

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868005115 QC EAR WAX SOL REMOVAL

ELECTROLYTES/ NUTRITIONALS

*Oral Electrolyte Solution***

GenericWATSON PHARMA, INC. 00536000486 ORALYTE SOL




GenericWATSON PHARMA, INC. 00536139517 ORALYTE SOL FREEZE

GenericLEADER 37205022008 PED ELCTRLYT SOL FRUIT

GenericLEADER 37205022108 PED ELCTRLYT SOL GRAPE

GenericLEADER 37205022208 PED ELCTRLYT SOL UNFLAVRD

GenericMCKESSON CORPORATION VALU-RITE 49348016162 PED ELCTRLYT SOL GRAPE

GenericMCKESSON CORPORATION VALU-RITE 49348057041 PED ELCTRLYT SOL FRUIT

GenericMCKESSON CORPORATION VALU-RITE 49348057141 PED ELCTRLYT SOL UNFLAVRD

GenericMCKESSON CORPORATION VALU-RITE 49348088062 PED ELCTRLYT SOL BUBBLGUM

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614022208 PED ELECTROL SOL FRUIT

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614022308 PED ELECTROL SOL GRAPE

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868000733 PED ELCTRLYT SOL



Levocarnitine Cap 250 MG

GenericWATSON PHARMA, INC. 54391005009 PA REQUIREDL-CARNITINE CAP 250MG

Omega-3 Fatty Acids Cap 1000 MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385033572 FISH OIL CAP 1000MG

Omega-3 Fatty Acids Cap 500 MG

GenericWATSON PHARMA, INC. 00536718706 SEA-OMEGA CAP 500MG

GI - ANTI - FLATULENTS / GI STIMULANTS

Glycerin Suppos 1.5 GM

GenericC B FLEET COMPANY INC 00132008112 GLYCERIN SUP 1.5GM

GenericQUALITEST PHARMACEUTICALS, INC. 00603051235 GLYCERIN SUP 1.5GM

GenericG&W LABORATORIES, INC 00713010209 SANI-SUPP SUP 1.5GM

GenericG&W LABORATORIES, INC 00713010213 GLYCERIN SUP 1.5GM

GenericG&W LABORATORIES, INC 00713010225 SANI-SUPP SUP 1.5GM




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Glycerin Suppos 1.5 GM

GenericG&W LABORATORIES, INC 00713010226 GLYCERIN SUP 1.5GM

GenericMAJOR PHARMACEUTICALS 00904266612 GLYCERIN SUP 1.5GM

GenericMAJOR PHARMACEUTICALS 00904266617 GLYCERIN SUP 1.5GM

GenericBERGEN BRUNSWIG DRUG COMPANY 24385031763 GLYCERIN SUP 1.5GM

GenericLEADER 37205031763 GLYCERIN SUP 1.5GM

GenericPERRIGO PHARMACEUTICALS 45802071630 GLYCERIN SUP 1.5GM

GenericPERRIGO PHARMACEUTICALS 45802071631 GLYCERIN SUP 1.5GM

GenericMCKESSON CORPORATION VALU-RITE 49348015805 SM GLYCERIN SUP 1.5GM

GenericPURDUE PRODUCTS, L.P. 67618010512 COLACE PEDI SUP 1.5GM

Glycerin Suppos 3 GM

GenericC B FLEET COMPANY INC 00132008418 GLYCERIN SUP 3GM

GenericQUALITEST PHARMACEUTICALS, INC. 00603051119 GLYCERIN SUP 3GM



GenericG&W LABORATORIES, INC 00713010102 GLYCERIN SUP 3GM

GenericG&W LABORATORIES, INC 00713010109 SANI-SUPP SUP 3GM






GenericMAJOR PHARMACEUTICALS 00904266717 GLYCERIN SUP 3GM

GenericMAJOR PHARMACEUTICALS 00904266760 GLYCERIN SUP 3GM

GenericBERGEN BRUNSWIG DRUG COMPANY 24385032063 GLYCERIN SUP 3GM

GenericBERGEN BRUNSWIG DRUG COMPANY 24385032071 GLYCERIN SUP 3GM

GenericLEADER 37205032063 GLYCERIN SUP 3GM

GenericPERRIGO PHARMACEUTICALS 45802071533 GLYCERIN SUP 3GM

GenericMCKESSON CORPORATION VALU-RITE 49348015905 SM GLYCERIN SUP 3GM

GenericMCKESSON CORPORATION VALU-RITE 49348015909 SM GLYCERIN SUP 3GM

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614032063 GLYCERIN SUP 3GM

GenericPURDUE PRODUCTS, L.P. 67618010424 COLACE ADULT SUP

Simethicone Chew Tab 125 MG

BrandNOVARTIS CONSUMER HEALTH, INC. 00067011718 GAS-X EX-STR CHW 125MG

BrandNOVARTIS CONSUMER HEALTH, INC. 00067012918 GAS-X EX-STR CHW 125MG

GenericWATSON PHARMA, INC. 00536453408 SIMETHICONE CHW 125MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603021120 MYTAB GAS CHW 125MG XS

GenericGLAXOSMITHKLINE 10158040580 PHAZYME CHW 125MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385012372 GAS RELIEF CHW 125MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868085318 GAS RELIEF CHW 125MG


BrandNOVARTIS CONSUMER HEALTH, INC. 00067011636 GAS-X CHW 80MG

GenericGOLDLINE LABORATORIES, INC. 00182146001 GENASYME CHW 80MG

GenericGOLDLINE LABORATORIES, INC. 00182864389 SIMETHICONE CHW 80MG

GenericWATSON PHARMA, INC. 00536453301 SIMETHICONE CHW 80MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603021021 MYTAB GAS CHW 80MG

GenericMAJOR PHARMACEUTICALS 00904506860 MI-ACID GAS CHW 80MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385011878 GAS RELIEF CHW 80MG

GenericLEADER 37205011278 GAS RELIEF CHW 80MG

GenericMCKESSON CORPORATION VALU-RITE 49348050907 GAS RELIEF CHW 80MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614012778 SIMETHICONE CHW 80MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739022510 SIMETHICONE CHW 80MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739022515 SIMETHICONE CHW 80MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868010316 GAS RELIEF CHW 80MG

GenericAKYMA PHARMACEUTICALS LLC 65162044310 SIMETHICONE CHW 80MG

Simethicone Susp 40 MG/0.6ML

GenericGEISS, DESTIN & DUNN, INC. 00113011910 SIMETHICONE DRO 40/0.6ML

GenericGEISS, DESTIN & DUNN, INC. 00113088210 INFNT SIMETH DRO 20/0.3ML

GenericGOLDLINE LABORATORIES, INC. 00182219166 GENASYME DRO 40/0.6ML

GenericWATSON PHARMA, INC. 00536222075 SIMETHICONE DRO 40/0.6ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603089450 SIMETHICONE DRO 40/0.6ML

GenericMAJOR PHARMACEUTICALS 00904506730 GAS RELIEF DRO 40/0.6ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385078530 GAS RELIEF DRO 40/0.6ML

GenericLEADER 37205011910 SIMETHICONE DRO 40/0.6ML

GenericPERRIGO PHARMACEUTICALS 45802040649 GAS RELIEF DRO 20/0.3ML

GenericCAROLINA MEDICAL PRODUCTS COMPANY 46287050630 SIMETHICONE DRO 40/0.6ML

GenericMCKESSON CORPORATION VALU-RITE 49348057734 GAS RELIEF DRO 40/0.6ML

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614010310 GAS RELIEF DRO 20/0.3ML

GenericHI-TECH PHARMACAL CO. INC. 50383078530 EQUALIZE GAS DRO RELIEF

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868005230 GAS RELIEF DRO 40/0.6ML

GI - ANTIDIARRHEAL / ANTACID - MISC.

Aluminum & Magnesium Hydroxides Susp 225-200 MG/5ML

GenericGOLDLINE LABORATORIES, INC. 00182080939 ALAMAG SUS

GenericWATSON PHARMA, INC. 00536195083 RULOX SUS

GenericSELECT BRAND DISTRIBUTORS 15127054073 SB ANTACID SUS MINT

GenericBERGEN BRUNSWIG DRUG COMPANY 24385035640 ANTACID SUS

GenericMCKESSON CORPORATION VALU-RITE 49348001939 SM ANTACID SUS


GenericPRIME MARKETING LLC 62107002011 LIQ ANTACID SUS MINT CRM

Aluminum Hydroxide Gel Susp 320 MG/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121073312 ALUM HYDROX SUS 320/5ML



GenericWATSON PHARMA, INC. 00536009185 ALUM HYDROX SUS 320/5ML

Bismuth Subsalicylate Chew Tab 262 MG

GenericGEISS, DESTIN & DUNN, INC. 00113046965 PINK BISMUTH CHW 262MG

GenericGOLDLINE LABORATORIES, INC. 00182109117 PINK BISMUTH CHW 262MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603023516 PINK BISMUTH CHW 262MG

GenericMAJOR PHARMACEUTICALS 00904131546 BISMATROL CHW 262MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385002465 PINK BISMUTH CHW 262MG

GenericLEADER 37205072065 PINK BISMUTH CHW 262MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614046965 MEDI-BISMUTH CHW 262MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868098930 PINK BISMUTH CHW 262MG

Bismuth Subsalicylate Susp 262 MG/15ML

GenericGEISS, DESTIN & DUNN, INC. 00113030234 PINK BISMUTH SUS 527/30ML

GenericGEISS, DESTIN & DUNN, INC. 00113030240 PINK BISMUTH SUS 527/30ML

GenericGOLDLINE LABORATORIES, INC. 00182181144 PINK BISMUTH SUS 527/30ML

GenericWATSON PHARMA, INC. 00536181059 PEPTIC RELF SUS 527/30ML

GenericUNITED RESEARCH LABORATORIES 00677192133 KAPECTOLIN SUS 262/15ML

GenericMAJOR PHARMACEUTICALS 00904131309 BISMATROL SUS 524/30ML

GenericMAJOR PHARMACEUTICALS 00904570909 KAO-TIN SUS 262/15ML




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Bismuth Subsalicylate Susp 262 MG/15ML

GenericMAJOR PHARMACEUTICALS 00904570916 KAO-TIN SUS 262/15ML

GenericSELECT BRAND DISTRIBUTORS 15127055068 SB BISMUTH SUS 262/15ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385030240 PINK BISMUTH SUS 527/30ML

BrandTHE PROCTER & GAMBLE DISTRIBUTING CO. 37000003201 PEPTO-BISMOL SUS 262/15ML




GenericLEADER 37205030234 PINK BISMUTH SUS 262/15ML

GenericLEADER 37205030240 PINK BISMUTH SUS 262/15ML

GenericLEADER 37205044140 K-PEC SUS 262/15ML

GenericMCKESSON CORPORATION VALU-RITE 49348019237 SM STOMACH SUS 527/30ML

GenericMCKESSON CORPORATION VALU-RITE 49348019238 SM STOMACH SUS 527/30ML

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614027940 K-PEC SUS 262/15ML

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614030234 MEDI-BISMUTH SUS 262/15ML

GenericANIP ACQUISITION COMPANY 62559021108 PINK BISMUTH SUS 262/15ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868030234 PINK BISMUTH SUS 262/15ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868030235 PINK BISMUTH SUS 262/15ML

Bismuth Subsalicylate Tab 262 MG

GenericSELECT BRAND DISTRIBUTORS 15127018008 SB BISMUTH TAB 262MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385001758 PINK BISMUTH TAB 262MG

GenericMCKESSON CORPORATION VALU-RITE 49348051159 STOMACH RELF TAB 262MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868017228 PINK BISMUTH TAB 262MG

Calcium Carbonate (Antacid) Chew Tab 1000 MG

BrandGLAXOSMITHKLINE 00135011814 TUMS ULTRA CHW ASST FRT

BrandGLAXOSMITHKLINE 00135011883 TUMS ULTRA CHW ASST FRT

BrandGLAXOSMITHKLINE 00135011983 TUMS ULTRA CHW PEPPRMNT

BrandGLAXOSMITHKLINE 00135018002 TUMS ULTRA CHW TRP FRUT



BrandGLAXOSMITHKLINE 00135018101 TUMS ULTRA CHW ASST BRY



BrandGLAXOSMITHKLINE 00135018214 TUMS ULTRA CHW SPEARMNT

GenericBERGEN BRUNSWIG DRUG COMPANY 24385059523 ULTRA ANTACD CHW 1000MG

GenericLEADER 37205033369 CAL ANTACID CHW ULTRA

GenericMCKESSON CORPORATION VALU-RITE 49348019516 SM ANTACID CHW 1000MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868005572 CAL ANTACID CHW ULTRA


GenericGEISS, DESTIN & DUNN, INC. 00113047847 ANTACID CHW 500MG

GenericGEISS, DESTIN & DUNN, INC. 00113048547 CALC ANTACID CHW 500MG

BrandGLAXOSMITHKLINE 00135007003 TUMS CHW 500MG





GenericGOLDLINE LABORATORIES, INC. 00182113920 ANTACID CHW 500MG

GenericWATSON PHARMA, INC. 00536474297 CAL-GEST CHW 500MG

GenericWATSON PHARMA, INC. 00536688908 CALCIUM CARB CHW 500MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603009526 CALC ANTACID CHW 500MG

GenericMAJOR PHARMACEUTICALS 00904125792 CALC ANTACID CHW 500MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required



GenericSELECT BRAND DISTRIBUTORS 15127021024 SB ANTACID CHW 500MG

GenericSELECT BRAND DISTRIBUTORS 15127021124 SB ANTACID CHW ASSORTED

GenericBERGEN BRUNSWIG DRUG COMPANY 24385047847 ANTACID CHW 500MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385048547 ANTACID CHW 500MG

GenericLEADER 37205020047 ANTACID CHW 500MG

GenericLEADER 37205021047 ANTACID CHW 500MG



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614047847 ANTACID CHW 500MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614048547 CALC ANTACID CHW 500MG

GenericGEMINI PHARMACEUTICALS, INC. 51645073515 CALC ANTACID CHW 500MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868005315 CALC ANTACID CHW 500MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868005415 CALC ANTACID CHW 500MG


GenericGEISS, DESTIN & DUNN, INC. 00113017980 CAL ANTACID CHW 750MG

BrandGLAXOSMITHKLINE 00135007422 TUMS E-X CHW 750MG









BrandGLAXOSMITHKLINE 00135015405 TUMS E-X S/F CHW 750MG




BrandGLAXOSMITHKLINE 00135022301 TUMS CAL/LIF CHW 750MG

BrandGLAXOSMITHKLINE 00135024301 TUMS SMOOTHI CHW PEPPRMNT

BrandGLAXOSMITHKLINE 00135024401 TUMS SMOOTHI CHW COCOA

BrandGLAXOSMITHKLINE 00135024402 TUMS SMOOTHI CHW COCOA

BrandGLAXOSMITHKLINE 00135024501 TUMS SMOOTHI CHW TROP FRU

BrandGLAXOSMITHKLINE 00135024601 TUMS SMOOTHI CHW ASST FRU

BrandGLAXOSMITHKLINE 00135045603 TUMS SMOOTHI CHW BERY FUS

BrandGLAXOSMITHKLINE 00135046901 TUMS KIDS CHW 750MG

GenericGOLDLINE LABORATORIES, INC. 00182113694 X-S ANTACID CHW 750MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603009627 CALC ANTACID CHW 750MG


GenericSELECT BRAND DISTRIBUTORS 15127020737 SB ANTACID CHW EX STR

GenericLEADER 37205020580 ANTACID X-ST CHW 750MG

GenericLEADER 37205070680 ANTACID XTRA CHW 750MG

GenericMCKESSON CORPORATION VALU-RITE 49348036234 SM ANTACID CHW 750MG XS



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614017880 ANTACID CHW 750MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614017980 CALC ANTACID CHW 750MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868010219 QC ANTACID CHW 750MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868012722 QC ANTACID CHW EX STR




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required




Calcium Carbonate (Antacid) Tab 650 MG

BrandWATSON PHARMA, INC. 00536341410 CALCIUM CARB TAB 650MG

Magnesium Oxide Tab 400 MG

BrandBLAINE COMPANY 00165002210 MAG-OX 400 TAB 400MG




GenericWATSON PHARMA, INC. 00536352141 MAG OXIDE TAB 400MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603020922 MAG OXIDE TAB 400MG

GenericMAJOR PHARMACEUTICALS 00904531118 MAG OXIDE TAB 400MG

GenericGEMINI PHARMACEUTICALS, INC. 51645078508 MAG OXIDE TAB 400MG

GenericBRECKENRIDGE PHARMACEUTICAL, INC. 51991008136 MAG OXIDE TAB 400MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258017101 MAG OXIDE TAB 400MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739035401 MAG OXIDE TAB 400MG




Sodium Bicarbonate Tab 325 MG

GenericWATSON PHARMA, INC. 00536454010 SODIUM BICAR TAB 325MG

Sodium Bicarbonate Tab 650 MG

GenericWATSON PHARMA, INC. 00536454410 SODIUM BICAR TAB 650MG

GenericUNITED RESEARCH LABORATORIES 00677013110 SODIUM BICAR TAB 650MG

GI - ANTIPERISTALTIC AGENTS

Loperamide HCl Cap 2 MG

GenericMCKESSON CORPORATION VALU-RITE 49348075204 ANTI-DIARRHE CAP 2MG

Loperamide HCl Liq 1 MG/5ML (0.2 MG/ML)

GenericROXANE LABORATORIES, INC. 00054853416 LOPERAMIDE LIQ 1MG/5ML

GenericROXANE LABORATORIES, INC. 00054853516 LOPERAMIDE LIQ 1MG/5ML

GenericGEISS, DESTIN & DUNN, INC. 00113037726 ANTI-DIARRHE LIQ 1MG/5ML

GenericWATSON PHARMA, INC. 00536127497 LOPERAMIDE LIQ 1MG/5ML

GenericMAJOR PHARMACEUTICALS 00904003620 ANTI-DIARRHE LIQ 1MG/5ML

GenericLEADER 37205037726 LOPERAMIDE LIQ 1MG/5ML

GenericMCKESSON CORPORATION VALU-RITE 49348027734 ANTI-DIARRHE LIQ 1MG/5ML

GenericHI-TECH PHARMACAL CO. INC. 50383061804 LOPERAMIDE LIQ 1MG/5ML

GI - DIGESTIVE ENZYMES

Lactase Cap 250 MG

BrandSCHWARZ PHARMA, LLC 00091350501 LACTRASE CAP 250MG

Lactase Chew Tab 9000 Unit

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614038866 DAIRY DIGES CHW 9000UNIT

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868017581 DAIRY RELIEF CHW 9000UNIT

Lactase Tab 3000 Unit

GenericWATSON PHARMA, INC. 00536781106 LAC-DOSE TAB 3000UNIT

GenericMAJOR PHARMACEUTICALS 00904522452 LACTASE ENZ TAB 3000UNIT

GenericBERGEN BRUNSWIG DRUG COMPANY 24385014976 DAIRY-RELIEF TAB 3000UNIT

GenericLEADER 37205011372 DAIRY DIGEST TAB 3000UNIT


GenericLEADER 37205011472 DAIRY DIGEST TAB ULTRA




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericMCKESSON CORPORATION VALU-RITE 49348029106 DAIRY DIGEST TAB ULTRA

GenericMCKESSON CORPORATION VALU-RITE 49348029112 DAIRY DIGEST TAB ULTRA

GI - H2-ANTAGONISTS

Famotidine Tab 10 MG

GenericGOLDLINE LABORATORIES, INC. 00182266214 FAMOTIDINE TAB 10MG




GenericMAJOR PHARMACEUTICALS 00904552952 HEARTBURN TAB RELIEF

GenericMAJOR PHARMACEUTICALS 00904552987 HEARTBURN TAB RELIEF

GenericBERGEN BRUNSWIG DRUG COMPANY 24385025565 ACID REDUCER TAB 10MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385025572 ACID REDUCER TAB 10MG

GenericLEADER 37205001465 ACID REDUCER TAB 10MG

GenericLEADER 37205001489 ACID REDUCER TAB 10MG

GenericMCKESSON CORPORATION VALU-RITE 49348044212 ACID REDUCER TAB 10MG



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013765 FAMOTIDINE TAB 10MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013772 FAMOTIDINE TAB 10MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868071430 ACID CONTROL TAB 10MG

Ranitidine HCl Tab 75 MG

GenericMAJOR PHARMACEUTICALS 00904539946 RANITIDINE TAB 75MG




GenericBERGEN BRUNSWIG DRUG COMPANY 24385029672 RANITIDINE TAB 75MG

GenericLEADER 37205053165 RANITIDINE TAB 75MG

GenericLEADER 37205053172 RANITIDINE TAB 75MG







GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868071110 RANITIDINE TAB 75MG



GI - MISC.

*Sodium Phosphates - Enema***

BrandC B FLEET COMPANY INC 00132020140 FLEET ENE


BrandC B FLEET COMPANY INC 00132020220 FLEET ENE PED


GenericWATSON PHARMA, INC. 00536741551 ENEMA DISPOS ENE

GenericQUALITEST PHARMACEUTICALS, INC. 00603075291 DISPOSABLE ENE

GenericMAJOR PHARMACEUTICALS 00904353578 DISPOSABLE ENE

GenericBERGEN BRUNSWIG DRUG COMPANY 24385003928 ENEMA ENE

GenericBERGEN BRUNSWIG DRUG COMPANY 24385003936 ENEMA ENE

GenericLEADER 37205003011 READY-TO-USE ENE COMPLETE




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

*Sodium Phosphates - Enema***

GenericLEADER 37205003036 READY-TO-USE ENE COMPLETE

GenericMCKESSON CORPORATION VALU-RITE 49348052720 SM ENEMA ENE

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614033127 ENEMA ENE SINGLE

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614033128 ENEMA ENE SINGLE

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868038045 QC ENEMA ENE

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868038090 QC ENEMA ENE

*Sodium Phosphates - Soln***

GenericC B FLEET COMPANY INC 00132010201 E-Z PREP BCS SOL PHOS-SOD

BrandC B FLEET COMPANY INC 00132010701 FL PHOSPHO SOL UNFLAVOR

BrandC B FLEET COMPANY INC 00132010702 FL PHOSPHO SOL GNGR-LEM

BrandC B FLEET COMPANY INC 00132010815 FL PHOSPHO SOL SODA-REG

BrandC B FLEET COMPANY INC 00132010915 FL PHOSPHO SOL SODA-FLV

GenericMAJOR PHARMACEUTICALS 00904566675 PHOSPHATE SOL LAXATIVE

GenericLEADER 37205030913 PA REQUIREDORAL SALINE SOL LAXATIVE

GenericMCKESSON CORPORATION VALU-RITE 49348054584 ORAL SALINE SOL LAXATIVE

BrandMEDICINE SHOPPE INTERNATIONAL, INC. 49614018221 LAXATIVE SOL SALINE

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868020303 PHOSPHA-LAX SOL



GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868020730 ORAL SALINE SOL LAXATIVE

Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML

GenericNOVARTIS CONSUMER HEALTH, INC. 00067022071 MAALOX REG SUS STRENGTH




GenericGEISS, DESTIN & DUNN, INC. 00113035740 MASANTI SUS ANTACID

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121176130 MAG-AL PLUS LIQ

GenericGOLDLINE LABORATORIES, INC. 00182616039 ANTACID SUS

GenericWATSON PHARMA, INC. 00536002583 ALMACONE SUS

GenericQUALITEST PHARMACEUTICALS, INC. 00603069457 ANTACID SUS

GenericQUALITEST PHARMACEUTICALS, INC. 00603071257 ANTACID M SUS

GenericMAJOR PHARMACEUTICALS 00904000414 MI-ACID SUS

GenericMAJOR PHARMACEUTICALS 00904572114 MINTOX SUS

GenericSELECT BRAND DISTRIBUTORS 15127088352 ANTACID SUS ANTI-GAS

GenericLEADER 37205031440 ANTACID SUS REG

GenericLEADER 37205053040 ANTACID/ SUS SIMETH



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614035840 ANTACID/ SUS SIMETH

GenericPRIME MARKETING LLC 62107002211 MILANTEX SUS ORIGINAL

GenericANIP ACQUISITION COMPANY 62559061102 ANTACID SUS ANTI-GAS

GenericANIP ACQUISITION COMPANY 62559112102 ANTACID SUS REG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868069457 QC ANTACID SUS

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868071257 QC ANTACID SUS ANTI-GAS


GenericNOVARTIS CONSUMER HEALTH, INC. 00067022812 MAALOX MAX SUS WILD BRY

GenericNOVARTIS CONSUMER HEALTH, INC. 00067024712 MAALOX MAX SUS VANILLA

GenericNOVARTIS CONSUMER HEALTH, INC. 00067025371 MAALOX MAX SUS LEMON

GenericNOVARTIS CONSUMER HEALTH, INC. 00067025444 MAALOX MAX SUS CHERRY

GenericNOVARTIS CONSUMER HEALTH, INC. 00067025471 MAALOX MAX SUS CHERRY




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericNOVARTIS CONSUMER HEALTH, INC. 00067025671 MAALOX MAX SUS MINT

GenericNOVARTIS CONSUMER HEALTH, INC. 00067619826 MAALOX MULTI SUS SYMP MAX

GenericGEISS, DESTIN & DUNN, INC. 00113034040 MASANTI II SUS

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121176230 MAG-AL PLUS LIQ XS

GenericGOLDLINE LABORATORIES, INC. 00182616139 ANTACID DS SUS

GenericWATSON PHARMA, INC. 00536001583 ALMACONE-II SUS DS

GenericQUALITEST PHARMACEUTICALS, INC. 00603071557 ANTACID M SUS MAX ST

GenericMAJOR PHARMACEUTICALS 00904000514 MI-ACID MAX SUS STRENGTH

GenericMAJOR PHARMACEUTICALS 00904572514 MINTOX SUS MAX STR

GenericSELECT BRAND DISTRIBUTORS 15127074552 ANTACID DS SUS

GenericLEADER 37205053540 ANTACID SUS ANTI-GAS

GenericLEADER 37205053640 ANTACID SUS MAX ST

GenericMCKESSON CORPORATION VALU-RITE 49348003539 SM ANTACID SUS EXTRA ST

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614034040 ANTACID/SIME SUS DS

GenericPRIME MARKETING LLC 62107002311 MILANTEX SUS X-STR

GenericANIP ACQUISITION COMPANY 62559061202 ANTACID SUS ANTI-GAS

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868071557 QC ANTACID SUS ANTI-GAS

Bisacodyl Suppos 10 MG

GenericC B FLEET COMPANY INC 00132070504 FLEET LAXATI SUP 10MG

GenericWATSON PHARMA, INC. 00536135501 BISACODYL SUP 10MG

GenericWATSON PHARMA, INC. 00536135512 BISACODYL SUP 10MG

GenericPADDOCK LABORATORIES, INC. 00574705012 BISACODYL SUP 10MG

GenericPADDOCK LABORATORIES, INC. 00574705050 BISACODYL SUP 10MG

GenericG&W LABORATORIES, INC 00713010901 BISAC-EVAC SUP 10MG






GenericMAJOR PHARMACEUTICALS 00904505812 BISCOLAX SUP 10MG

GenericMAJOR PHARMACEUTICALS 00904505860 BISCOLAX SUP 10MG

GenericLEADER 37205010253 BISACODYL SUP 10MG

GenericPERRIGO PHARMACEUTICALS 45802071030 BISACODYL SUP 10MG



GenericMCKESSON CORPORATION VALU-RITE 49348059867 SM LAXATIVE SUP 10MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013335 LAXATIVE SUP 10MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868032808 QC LAXATIVE SUP 10MG

Bisacodyl Tab Delayed Release 5 MG

GenericNOVARTIS CONSUMER HEALTH, INC. 00067034724 EX-LAX ULTRA TAB 5MG EC

GenericGEISS, DESTIN & DUNN, INC. 00113008663 LAXATIVE TAB 5MG EC

GenericGEISS, DESTIN & DUNN, INC. 00113017465 WOMENS LAXAT TAB 5MG EC

GenericC B FLEET COMPANY INC 00132070402 FLEET LAXATI TAB 5MG EC

GenericGOLDLINE LABORATORIES, INC. 00182199201 GENTLE LAXAT TAB 5MG EC

GenericGOLDLINE LABORATORIES, INC. 00182199210 GENTLE LAXAT TAB 5MG EC

GenericGOLDLINE LABORATORIES, INC. 00182853489 BISACODYL TAB 5MG EC

GenericWATSON PHARMA, INC. 00536338101 BISACODYL TAB 5MG EC

GenericWATSON PHARMA, INC. 00536338110 BISACODYL TAB 5MG EC

GenericPADDOCK LABORATORIES, INC. 00574000401 BISACODYL TAB 5MG EC

GenericPADDOCK LABORATORIES, INC. 00574000411 BISACODYL TAB 5MG EC




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Bisacodyl Tab Delayed Release 5 MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603012916 CORRECTIVE TAB 5MG EC

GenericQUALITEST PHARMACEUTICALS, INC. 00603248221 BISACODYL TAB 5MG EC

GenericQUALITEST PHARMACEUTICALS, INC. 00603248232 BISACODYL TAB 5MG EC

GenericG&W LABORATORIES, INC 00713041625 BISAC-EVAC TAB 5MG EC

GenericG&W LABORATORIES, INC 00713042230 FEMILAX TAB 5MG EC

GenericG&W LABORATORIES, INC 00713042260 FEMILAX TAB 5MG EC

GenericMAJOR PHARMACEUTICALS 00904792717 BISACODYL TAB 5MG EC




GenericSELECT BRAND DISTRIBUTORS 15127000230 SB GEN LAX TAB WOMEN

GenericSELECT BRAND DISTRIBUTORS 15127017807 SB BISACODYL TAB 5MG EC

GenericLEADER 37205012863 BISACODYL TAB 5MG EC

GenericLEADER 37205029865 FEMININE LAX TAB 5MG EC

GenericMCKESSON CORPORATION VALU-RITE 49348022344 SM LAXATIVE TAB 5MG EC



GenericTIME-CAP LABS, INC. 49483000301 BISACODYL TAB 5MG EC

GenericTIME-CAP LABS, INC. 49483000310 BISACODYL TAB 5MG EC

GenericTIME-CAP LABS, INC. 49483005701 CORRECT TAB 5MG EC

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013163 GENTLE LAXAT TAB 5MG EC

GenericPRIME MARKETING LLC 62107003001 DUCODYL TAB 5MG EC

GenericPRIME MARKETING LLC 62107003010 DUCODYL TAB 5MG EC

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868032825 QC LAXATIVE TAB 5MG EC

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868049930 WOMANS LAXAT TAB 5MG EC

Calcium Polycarbophil Tab 625 MG

BrandLEDERLE LABORATORIES 00005250002 FIBERCON TAB 625MG



GenericGEISS, DESTIN & DUNN, INC. 00113047775 FIBER LAXATV TAB 625MG

GenericGOLDLINE LABORATORIES, INC. 00182138026 FIBER LAXATV TAB 625MG

GenericKONSYL PHARMACEUTICALS, INC. 00224050090 KONSYL FIBER TAB 625MG

GenericWATSON PHARMA, INC. 00536430605 FIBER-LAX TAB 625MG



GenericQUALITEST PHARMACEUTICALS, INC. 00603018102 FIBERTAB TAB 625MG

GenericMAJOR PHARMACEUTICALS 00904250091 FIBER TAB 625MG

GenericSELECT BRAND DISTRIBUTORS 15127021315 SB FIBER LAX TAB 625MG

GenericSELECT BRAND DISTRIBUTORS 15127021320 SB FIBER LAX TAB 625MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385012576 FIBER TAB 625MG

GenericLEADER 37205021375 FIBER LAXATV TAB 625MG

GenericMCKESSON CORPORATION VALU-RITE 49348075913 SM FIBER TAB LAXATIVE

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614035075 FIBER TAB 625MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868053090 FIBER LAXATV TAB 625MG

Casanthranol-DSS Cap 30-100 MG

GenericPRIME MARKETING LLC 62107003401 DOCUSIL PLUS CAP 100-30

GenericPRIME MARKETING LLC 62107003410 DOCUSIL PLUS CAP 100-30

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868013125 STOOL SOFTEN CAP LAXATIVE

Docusate Calcium Cap 240 MG

GenericGOLDLINE LABORATORIES, INC. 00182130201 DOCUSATE CAL CAP 240MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Docusate Calcium Cap 240 MG



GenericWATSON PHARMA, INC. 00536375501 DOCUSATE CAL CAP 240MG



GenericQUALITEST PHARMACEUTICALS, INC. 00603030521 SUR-Q-LAX CAP 240MG

GenericMAJOR PHARMACEUTICALS 00904577960 KAO-TIN CAP 240MG

GenericMCKESSON CORPORATION VALU-RITE 49348028010 DOCUSATE CAL CAP 240MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739008801 DOCUSATE CAL CAP 240MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739008803 DOCUSATE CAL CAP 240MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868001701 DOCUSATE CAL CAP 240MG

Docusate Sodium Cap 100 MG

GenericGEISS, DESTIN & DUNN, INC. 00113048672 STOOL SOFTEN CAP 100MG

GenericC B FLEET COMPANY INC 00132075160 SOF-LAX CAP 100MG

GenericGOLDLINE LABORATORIES, INC. 00182028701 D.O.S. CAP 100MG


GenericGOLDLINE LABORATORIES, INC. 00182141726 GENASOFT CAP 100MG

GenericGOLDLINE LABORATORIES, INC. 00182836389 DOCUSATE SOD CAP 100MG

GenericWATSON PHARMA, INC. 00536375601 DOCUSATE SOD CAP 100MG


GenericPADDOCK LABORATORIES, INC. 00574010101 DOCUSATE SOD CAP 100MG

GenericPADDOCK LABORATORIES, INC. 00574010110 DOCUSATE SOD CAP 100MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603014521 DOC-Q-LACE CAP 100MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603014532 DOC-Q-LACE CAP 100MG

GenericUNITED RESEARCH LABORATORIES 00677092406 UNI-EASE CAP 100MG

GenericG&W LABORATORIES, INC 00713040560 DOCUSOFT S CAP 100MG

GenericG&W LABORATORIES, INC 00713040599 DOCUSOFT S CAP 100MG

GenericMAJOR PHARMACEUTICALS 00904224461 DOK CAP 100MG




GenericSELECT BRAND DISTRIBUTORS 15127028810 DOCUSATE SOD CAP 100MG

GenericLEADER 37205026501 STOOL SOFTEN CAP 100MG

GenericMCKESSON CORPORATION VALU-RITE 49348005819 STOOL SOFTEN CAP 100MG



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013078 STOOL SOFTEN CAP 100MG

GenericUDL LABORATORIES, INC. 51079001901 DOCUSATE SOD CAP 100MG




GenericCYPRESS PHARMACEUTICAL, LLC 60258095501 DOCUSATE SOD CAP 100MG

GenericPRIME MARKETING LLC 62107003301 DOCUSIL CAP 100MG

GenericPRIME MARKETING LLC 62107003310 DOCUSIL CAP 100MG

GenericAMERICAN HEALTH PACKAGING 62584068301 DOCUSATE SOD CAP 100MG

GenericAMERICAN HEALTH PACKAGING 62584068385 DOCUSATE SOD CAP 100MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739008901 DOCUSATE SOD CAP 100MG







Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868011001 STOOL SOFTEN CAP 100MG



GenericAKYMA PHARMACEUTICALS LLC 65162061410 DOCUSATE SOD CAP 100MG

GenericAKYMA PHARMACEUTICALS LLC 65162061411 DOCUSATE SOD CAP 100MG

GenericSDA LABORATORIES 66424003010 DOCUSATE SOD CAP 100MG

BrandPURDUE PRODUCTS, L.P. 67618010110 COLACE CAP 100MG









GenericMCKESSON CORPORATION VALU-RITE 49348071410 STOOL SOFTNR CAP 250MG



Docusate Sodium Liquid 150 MG/15ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121054410 DOCUSATE SOD LIQ 50MG/5ML



GenericGOLDLINE LABORATORIES, INC. 00182177440 DIOCTO LIQ 150/15ML

GenericWATSON PHARMA, INC. 00536059085 DIOCTO LIQ 150/15ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603074658 DOC-Q-LACE LIQ 150/15ML

GenericMAJOR PHARMACEUTICALS 00904093616 DIOCTO LIQ 50MG/5ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385046843 STOOL SOFTEN LIQ 50MG/5ML

GenericHI-TECH PHARMACAL CO. INC. 50383077116 DOCU LIQ 150/15ML

GenericSILARX PHARMACEUTICALS, INC. 54838011680 SILACE LIQ 10MG/ML

BrandPURDUE PRODUCTS, L.P. 67618010230 COLACE LIQ 150/15ML

Docusate Sodium Syrup 60 MG/15ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121074316 DOCUSATE SOD SYP 20MG/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121074325 DOCUSATE SOD SYP 20MG/5ML

GenericWATSON PHARMA, INC. 00536060085 DIOCTO SYP 60/15ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603074758 DOC-Q-LACE SYP 60/15ML

GenericSILARX PHARMACEUTICALS, INC. 54838010780 SILACE SYP 60/15ML

BrandPURDUE PRODUCTS, L.P. 67618010316 COLACE SYP 60/15ML

Magnesium Citrate Soln

GenericBERGEN BRUNSWIG DRUG COMPANY 24385060010 MAG CITRATE SOL

GenericLEADER 37205011038 MAG CITRATE SOL

GenericLEADER 37205036238 MAG CITRATE SOL LEMON

GenericMCKESSON CORPORATION VALU-RITE 49348050449 SM MAG CITR SOL CHERRY

GenericMCKESSON CORPORATION VALU-RITE 49348069649 SM MAG CITR SOL LEMON

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013442 MAG CITRATE SOL LEMON

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013542 MAG CITRATE SOL CHERRY

Magnesium Hydroxide Susp 400 MG/5ML

GenericGEISS, DESTIN & DUNN, INC. 00113033240 MILK OF MAGN SUS MINT

GenericGEISS, DESTIN & DUNN, INC. 00113039640 MILK OF MAGN SUS

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121043130 MILK OF MAGN SUS

GenericGOLDLINE LABORATORIES, INC. 00182083339 MILK OF MAGN SUS




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Magnesium Hydroxide Susp 400 MG/5ML



GenericGOLDLINE LABORATORIES, INC. 00182608439 MILK OF MAGN SUS MINT

GenericGOLDLINE LABORATORIES, INC. 00182608440 MILK OF MAGN SUS MINT

GenericWATSON PHARMA, INC. 00536247083 MILK OF MAGN SUS

GenericWATSON PHARMA, INC. 00536247085 MILK OF MAGN SUS

GenericPADDOCK LABORATORIES, INC. 00574001816 MILK OF MAGN SUS

GenericPADDOCK LABORATORIES, INC. 00574001832 MILK OF MAGN SUS

GenericQUALITEST PHARMACEUTICALS, INC. 00603078757 MILK OF MAGN SUS 400/5ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603078758 MILK OF MAGN SUS 400/5ML

GenericQUALITEST PHARMACEUTICALS, INC. 00603078857 MILK OF MAGN SUS MINT

GenericMAJOR PHARMACEUTICALS 00904078814 MILK OF MAGN SUS

GenericMAJOR PHARMACEUTICALS 00904078816 MILK OF MAGN SUS

GenericMAJOR PHARMACEUTICALS 00904078914 MILK OF MAGN SUS MINT

GenericSELECT BRAND DISTRIBUTORS 15127083373 SB MILK MAGN SUS

GenericSELECT BRAND DISTRIBUTORS 15127083573 SB MILK MAGN SUS MINT

GenericLEADER 37205045940 MILK OF MAGN SUS

GenericLEADER 37205083340 MILK OF MAGN SUS 400/5ML

GenericLEADER 37205083440 MILK OF MAGN SUS MINT

GenericMCKESSON CORPORATION VALU-RITE 49348068039 SM MILK MAGN SUS CHERRY

GenericMCKESSON CORPORATION VALU-RITE 49348068739 SM MILK MAGN SUS ORIGINAL

GenericMCKESSON CORPORATION VALU-RITE 49348068744 SM MILK MAGN SUS ORIGINAL

GenericMCKESSON CORPORATION VALU-RITE 49348068839 SM MILK MAGN SUS MINT

GenericMCKESSON CORPORATION VALU-RITE 49348068844 SM MILK MAGN SUS MINT

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614033140 MEDI-MILK OF SUS MAGNESIA

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614033240 MILK OF MAGN SUS 400/5ML

GenericCYPRESS PHARMACEUTICAL, LLC 60258096016 MILK OF MAGN SUS 400/5ML

GenericPRIME MARKETING LLC 62107002411 MILK OF MAGN SUS MINT

GenericANIP ACQUISITION COMPANY 62559191101 MILK OF MAGN SUS 400/5ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868031012 MILK OF MAGN SUS 400/5ML



Methylcellulose Powder Laxative

BrandGLAXOSMITHKLINE 00135008969 CITRUCEL POW ORANGE



BrandGLAXOSMITHKLINE 00135009068 CITRUCEL POW SF ORANG



BrandGLAXOSMITHKLINE 00135010557 CITRUCEL POW CLR-MIX

BrandGLAXOSMITHKLINE 00135023801 CITRUCEL POW FIBERSHK

GenericMAJOR PHARMACEUTICALS 00904567516 SOLUBLE FIB POW THERAPY

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614015065 SOLUBLE FIB POW

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868034716 SOL FIBER POW THERAPY

Methylcellulose Tab 500 MG

BrandGLAXOSMITHKLINE 00135019901 CITRUCEL TAB 500MG



GenericLEADER 37205059878 FIBER THERAP TAB 500MG

GenericMCKESSON CORPORATION VALU-RITE 49348054110 SM FIBER LAX TAB 500MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Methylcellulose Tab 500 MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614035178 FIBER THERAP TAB 500MG

Mineral Oil

BrandPHARMACEUTICAL ASSOCIATES, INC. 00121046230 MINERAL OIL

BrandPADDOCK LABORATORIES, INC. 00574061816 MINERAL OIL

BrandMCKESSON CORPORATION VALU-RITE 49348080438 SM MINERAL OIL

Mineral Oil (Bulk)

BrandBERGEN BRUNSWIG DRUG COMPANY 24385068516 MINERAL OIL HEAVY

BrandMEDICINE SHOPPE INTERNATIONAL, INC. 49614020243 MINERAL OIL

BrandGALLIPOT INCORPORATED 51552083606 MINERAL OIL HEAVY

BrandGALLIPOT INCORPORATED 51552083608 MINERAL OIL HEAVY

Mineral Oil Enema

BrandC B FLEET COMPANY INC 00132030140 FLEET OIL ENE

GenericBERGEN BRUNSWIG DRUG COMPANY 24385036028 MINERAL OIL ENE

GenericLEADER 37205006411 MINERAL OIL ENE

GenericMCKESSON CORPORATION VALU-RITE 49348055320 SM MINERAL ENE OIL

Psyllium Cap 0.52 GM

GenericGOLDLINE LABORATORIES, INC. 00182201025 GENFIBER CAP 520MG

GenericWATSON PHARMA, INC. 00536150060 REGULOID CAP 0.52GM

GenericLEADER 37205037278 FIBER LAXTIV CAP 0.52GM

GenericMCKESSON CORPORATION VALU-RITE 49348063349 SM FIBER LAX CAP 0.52GM

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614040878 MEDI-MUCIL CAP 0.52GM

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868034801 FIBER LAXTIV CAP 0.52GM

Psyllium Powder 28%

GenericTHE PROCTER & GAMBLE DISTRIBUTING CO. 37000002305 METAMUCIL POW 28.3%ORG



Psyllium Powder 33%

GenericMARLOP PHARMACEUTICALS, INC. 12939021614 LAXMAR POW ORANGE

GenericSELECT BRAND DISTRIBUTORS 15127080413 SB FIB LAX POW POWDER

GenericSELECT BRAND DISTRIBUTORS 15127080419 SB FIB LAX POW POWDER

GenericBERGEN BRUNSWIG DRUG COMPANY 24385030127 NATURAL VEG POW 33%

GenericLEADER 37205030127 NATURAL VEG POW 33%

GenericLEADER 37205030327 NATURAL VEG POW ORANGE

GenericLEADER 37205034727 NAT VEGETABL POW 33% ORAN

Psyllium Powder 50%

GenericGOLDLINE LABORATORIES, INC. 00182151376 GENFIBER POW 50%

GenericGOLDLINE LABORATORIES, INC. 00182151378 GENFIBER POW 50%

GenericGOLDLINE LABORATORIES, INC. 00182151476 GENFIBER POW ORANGE

GenericWATSON PHARMA, INC. 00536187516 REGULOID POW ORANGE


GenericWATSON PHARMA, INC. 00536188116 REGULOID POW 50%






GenericMARLOP PHARMACEUTICALS, INC. 12939021514 LAXMAR POW 50%

Psyllium Powder Packet 58.6%

BrandTHE PROCTER & GAMBLE DISTRIBUTING CO. 37000002404 METAMUCIL POW 58.6 ORG

Senna Tab 187 MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Senna Tab 187 MG

GenericLEADER 37205024178 SENNA TAB 187MG

Sennosides Syrup 8.8 MG/5ML

GenericWATSON PHARMA, INC. 00536127559 SENEXON LIQ 8.8MG/5

GenericMAJOR PHARMACEUTICALS 00904545209 SENNA SYP

Sennosides Tab 8.6 MG

GenericGEISS, DESTIN & DUNN, INC. 00113002178 NAT SENNA LX TAB 8.6MG

GenericGOLDLINE LABORATORIES, INC. 00182109301 SENNA-GEN TAB 8.6MG

GenericGOLDLINE LABORATORIES, INC. 00182109310 SENNA-GEN TAB 8.6MG

GenericGOLDLINE LABORATORIES, INC. 00182821589 SENNAGEN TAB 8.6MG

GenericWATSON PHARMA, INC. 00536590401 SENEXON TAB 8.6MG

GenericWATSON PHARMA, INC. 00536590410 SENEXON TAB 8.6MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603028221 SENNA LAX TAB 8.6MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603028232 SENNA LAX TAB 8.6MG

GenericMAJOR PHARMACEUTICALS 00904516559 SENNA TAB 8.6MG



GenericBERGEN BRUNSWIG DRUG COMPANY 24385040478 SENNA-LAX TAB 8.6MG

GenericMCKESSON CORPORATION VALU-RITE 49348026210 SM SENNA LAX TAB 8.6MG

GenericTIME-CAP LABS, INC. 49483008001 SENNA-TIME TAB 8.6MG

GenericTIME-CAP LABS, INC. 49483008010 SENNA-TIME TAB 8.6MG

GenericGEMINI PHARMACEUTICALS, INC. 51645085101 SENNA TAB 8.6MG

GenericGEMINI PHARMACEUTICALS, INC. 51645085110 SENNA TAB 8.6MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258095001 SENNA TAB 8.6MG

GenericPRIME MARKETING LLC 62107003101 SENNO TAB 8.6MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739026801 SENNA TAB 8.6MG




GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739043101 SENNA-TIME TAB 8.6MG



GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868026301 QC SENNA TAB 8.6MG

GenericAKYMA PHARMACEUTICALS LLC 65162044010 SENNA CONCEN TAB 8.6MG

GenericAKYMA PHARMACEUTICALS LLC 65162044011 SENNA CONCEN TAB 8.6MG

BrandPURDUE PRODUCTS, L.P. 67618030010 SENOKOT TAB 8.6MG




Sennosides-Docusate Sodium Tab 8.6-50 MG

GenericGOLDLINE LABORATORIES, INC. 00182111301 SENNA S TAB 8.6-50MG

GenericGOLDLINE LABORATORIES, INC. 00182111310 SENNA S TAB 8.6-50MG

GenericGOLDLINE LABORATORIES, INC. 00182864289 SENNA-S TAB 8.6-50MG

GenericWATSON PHARMA, INC. 00536035501 SENNA-DOCUSA TAB 8.6-50MG

GenericWATSON PHARMA, INC. 00536035510 SENNA-DOCUSA TAB 8.6-50MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603014921 DOC-Q-LAX TAB 8.6-50MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603014932 DOC-Q-LAX TAB 8.6-50MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603028321 SENNALAX-S TAB 8.6-50MG

GenericQUALITEST PHARMACEUTICALS, INC. 00603028332 SENNALAX-S TAB 8.6-50MG

GenericMAJOR PHARMACEUTICALS 00904551252 SENNA PLUS TAB 8.6-50MG





Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Sennosides-Docusate Sodium Tab 8.6-50 MG


GenericMAJOR PHARMACEUTICALS 00904564360 DOK PLUS TAB NEW FORM

GenericMAJOR PHARMACEUTICALS 00904564361 DOK PLUS TAB NEW FORM

GenericBERGEN BRUNSWIG DRUG COMPANY 24385049572 STOOL SOFTEN TAB 8.6-50MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385049578 STOOL SOFTEN TAB 8.6-50MG

GenericLEADER 37205025172 SENNA-PLUS TAB 8.6-50MG

GenericLEADER 37205034978 STOOL SOFTEN TAB LAXATIVE

GenericMCKESSON CORPORATION VALU-RITE 49348053212 LAX/STL SOFT TAB 8.6-50MG

GenericMCKESSON CORPORATION VALU-RITE 49348054410 STOOL SOFTEN TAB 8.6-50MG

GenericMCKESSON CORPORATION VALU-RITE 49348054419 STOOL SOFTEN TAB 8.6-50MG

GenericTIME-CAP LABS, INC. 49483008101 SENNA-TIME S TAB 8.6-50MG

GenericTIME-CAP LABS, INC. 49483008110 SENNA-TIME S TAB 8.6-50MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614013278 MEDI-NATURAL TAB W/SOFTNR

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614014572 MEDI-NATURAL TAB 8.6-50MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614015478 STOOL SOFTEN TAB LAXATIVE

GenericGEMINI PHARMACEUTICALS, INC. 51645085006 SENNA PLUS TAB 8.6-50MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258095106 SENNA-S TAB 8.6-50MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739031101 SENNA/DSS TAB 8.6-50MG




GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739043201 SENNA-TIME S TAB 8.6-50MG



GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868013101 STOOL SOFTEN TAB LAXATIVE

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868026401 QC SENNA-S TAB 8.6-50MG

GenericPURDUE PRODUCTS, L.P. 67618010610 PERI-COLACE TAB 8.6-50MG



BrandPURDUE PRODUCTS, L.P. 67618031001 SENOKOT S TAB 8.6-50MG




GenericAMERICAN HEALTH PACKAGING 68084005001 SENNA PLUS TAB 8.6-50MG

Sorbitol

BrandPHARMACEUTICAL ASSOCIATES, INC. 00121065916 SORBITOL SOL 70%

BrandPHARMACEUTICAL ASSOCIATES, INC. 00121065930 SORBITOL SOL 70%

BrandPADDOCK LABORATORIES, INC. 00574016810 SORBITOL SOL 70%

BrandPADDOCK LABORATORIES, INC. 00574016816 SORBITOL SOL 70%

BrandQUALITEST PHARMACEUTICALS, INC. 00603090058 SORBITOL SOL 70%

BrandCAROLINA MEDICAL PRODUCTS COMPANY 46287050001 SORBITOL SOL 70%

BrandCAROLINA MEDICAL PRODUCTS COMPANY 46287050030 SORBITOL SOL 70%

BrandGALLIPOT INCORPORATED 51552009606 SORBITOL SOL 70%

BrandGALLIPOT INCORPORATED 51552009608 SORBITOL SOL 70%

BrandCYPRESS PHARMACEUTICAL, LLC 60258090116 SORBITOL SOL 70%

GI - PROTON PUMP INHIBITOR

Omeprazole Magnesium Delayed Release Tab 20 MG (Base Equiv)

BrandTHE PROCTER & GAMBLE DISTRIBUTING CO. 37000045502 PRILOSEC OTC TAB 20MG






Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Omeprazole Magnesium Delayed Release Tab 20 MG (Base Equiv)


MINERALS

*Calcium Carb-Vit D w/ Minerals Tabs 600 MG-200 Unit***

GenericMCKESSON CORPORATION VALU-RITE 49348013912 CALCIUM 600+ TAB MINERALS

Calcium 600 MG w/ Vitamin D Tab

GenericCYPRESS PHARMACEUTICAL, LLC 60258012106 CALCIUM/D TAB 600MG

Calcium Carbonate Chew Tab 1250 MG (500 MG Elemental Ca)

GenericWATSON PHARMA, INC. 54391002502 CALCI-CHEW CHW CHERRY

GenericWATSON PHARMA, INC. 54391022502 CALCI-CHEW CHW LEMON

GenericWATSON PHARMA, INC. 54391032502 CALCI-CHEW CHW ORANGE

Calcium Carbonate Susp 1250 MG/5ML

GenericROXANE LABORATORIES, INC. 00054311763 CALCIUM CARB SUS 1250/5ML

GenericROXANE LABORATORIES, INC. 00054811616 CALCIUM CARB SUS 1250/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121076616 CALCIUM CARB SUS 1250/5ML

GenericPHARMACEUTICAL ASSOCIATES, INC. 00121476605 CALCIUM CARB SUS 1250/5ML

Calcium Carbonate Tab 1250 MG (500 MG Elemental Ca)

GenericROXANE LABORATORIES, INC. 00054412025 CALCIUM CARB TAB 1250MG

GenericROXANE LABORATORIES, INC. 00054812025 CALCIUM CARB TAB 1250MG

GenericMARLOP PHARMACEUTICALS, INC. 12939051760 CALCIO DEL TAB MAR

Calcium Carbonate Tab 1500 MG (600 MG Elemental Ca)

GenericGOLDLINE LABORATORIES, INC. 00182414026 CALCARB 600 TAB

GenericWATSON PHARMA, INC. 00536342608 CALCIUM TAB 600MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385026972 CALCIUM TAB 600MG

GenericMCKESSON CORPORATION VALU-RITE 49348023312 SM CALCIUM TAB 600

GenericGEMINI PHARMACEUTICALS, INC. 51645073006 CALCIUM TAB 600MG

Calcium Carbonate Tab 600 MG

GenericPRIME MARKETING LLC 62107004206 CALCIUM 600 TAB

Calcium Carbonate-Vitamin D Tab 600 MG-125 Unit

GenericMCKESSON CORPORATION VALU-RITE 49348011012 SM CALCIUM TAB 600 +D

GenericMCKESSON CORPORATION VALU-RITE 49348030423 SM CALCIUM TAB 600 +D


GenericWATSON PHARMA, INC. 00536342408 CALCIUM/D TAB 600/200

GenericBERGEN BRUNSWIG DRUG COMPANY 24385027372 CALCIUM 600 TAB W/D

GenericBERGEN BRUNSWIG DRUG COMPANY 24385027387 CALCIUM 600 TAB W/D

GenericGEMINI PHARMACEUTICALS, INC. 51645073106 CALCIUM 600 TAB +D




GenericGOLDLINE LABORATORIES, INC. 00182414126 CALCARB 600 TAB VIT D

Calcium Citrate Tab 950 MG (200 MG Elemental Ca)

GenericGOLDLINE LABORATORIES, INC. 00182415101 CALCIUM CIT TAB 950MG

Calcium Citrate-Vitamin D Tab 200 MG-200 Unit (Elemental Ca)

GenericMISSION PHARMACAL COMPANY 00178080001 CITRACAL/D TAB PETITES

GenericMISSION PHARMACAL COMPANY 00178080020 CITRACAL/D TAB PETITES

GenericWATSON PHARMA, INC. 00536322301 CITRUS CALC/ TAB VIT D

Calcium Citrate-Vitamin D Tab 315 MG-200 Unit

GenericWATSON PHARMA, INC. 00536322408 CIT CALCIUM TAB + D

GenericMCKESSON CORPORATION VALU-RITE 49348032412 CALCIUM CIT/ TAB VIT D

GenericMCKESSON CORPORATION VALU-RITE 49348032421 CALCIUM CIT/ TAB VIT D




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Calcium w/ Vitamin D & K Chew Tab 500 MG-100 Unit-40 MCG

GenericMCKESSON CORPORATION VALU-RITE 49348046312 CALCIUM SOFT CHW MLK CHOC

Ferrous Sulfate Elixir 220 MG/5ML (44 MG/5ML Elemental Fe)

GenericHI-TECH PHARMACAL CO. INC. 50383077816 FERROUS SULF ELX 220/5ML

Ferrous Sulfate Soln 75 MG/0.6ML (15 MG/0.6ML Elemental Fe)

GenericGOLDLINE LABORATORIES, INC. 00182138167 FER-GEN-SOL DRO 15/0.6ML

GenericWATSON PHARMA, INC. 00536071080 FER-IRON DRO 15/0.6ML

GenericHI-TECH PHARMACAL CO. INC. 50383063050 FERROUS SULF DRO

Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe)

GenericWATSON PHARMA, INC. 00536589001 FERROUS SULF TAB 325MG

GenericMCKESSON CORPORATION VALU-RITE 49348018010 SM IRON TAB 325MG

GenericGEMINI PHARMACEUTICALS, INC. 51645076001 FERROUS SULF TAB 325MG

GenericGEMINI PHARMACEUTICALS, INC. 51645076010 FERROUS SULF TAB 325MG

Magnesium Chloride Tab CR 535 MG (64 MG Elemental Mg)

GenericMAJOR PHARMACEUTICALS 00904791152 MAG-DELAY TAB

GenericCYPRESS PHARMACEUTICAL, LLC 60258017306 MAG-SR TAB 535MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258017406 MAG-SR+CALCI TAB

BrandPURDUE PRODUCTS, L.P. 67618010760 SLOW-MAG TAB

Magnesium Gluconate Tab 500 MG

GenericMISSION PHARMACAL COMPANY 00178029901 MAGTRATE TAB 500MG

GenericFLEMING AND COMPANY 00256017201 MAGONATE TAB 500MG

GenericWATSON PHARMA, INC. 00536668001 MAGNESIUM GL TAB 500MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258017201 MAG-G TAB 500MG

Magnesium Tab 250 MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385096778 MAGNESIUM TAB 250MG

GenericMCKESSON CORPORATION VALU-RITE 49348000810 MAGNESIUM TAB 250MG

Oyster Shell Calcium Tab 500 MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385026506 CALCIUM 500 TAB 500MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385026598 CALCIUM 500 TAB 500MG

GenericMCKESSON CORPORATION VALU-RITE 49348006243 SM CALCIUM TAB 500MG

Polysaccharide Iron Complex Cap 150 MG

GenericMERZ PHARMACEUTICALS 00259029101 PA REQUIREDNU-IRON 150 CAP 150MG

GenericUNITED RESEARCH LABORATORIES 00677159701 PA REQUIREDIRON COMPLEX CAP 150MG

GenericR.A. MCNEIL COMPANY 12830081101 PA REQUIREDFERUS CAP 150MG

GenericBRECKENRIDGE PHARMACEUTICAL, INC. 51991020311 PA REQUIREDFERREX 150 CAP 150MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258018501 PA REQUIREDPOLY-IRON CAP 150MG

Potassium & Sodium Phosphates Powder Pack 278-164-250 MG

BrandALZA CORPORATION 17314931102 NEUTRA-PHOS POW

Selenium Tab 50 MCG

GenericGOLDLINE LABORATORIES, INC. 00182113801 SELENIUM TAB 50MCG

Sodium Chloride Tab 1 GM

GenericLANNETT COMPANY, INC. 00527111610 SOD CHLORIDE TAB 1GM

Zinc Gluconate Tab 50 MG

GenericGOLDLINE LABORATORIES, INC. 00182114801 ZINC GLUCON TAB 50MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385034678 ZINC TAB 50MG

Zinc Sulfate Cap 220 MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258013101 ZINC SULFATE CAP 220MG

Zinc Tab 50 MG

GenericWATSON PHARMA, INC. 00536667101 CHELATED ZN TAB 50MG

GenericMCKESSON CORPORATION VALU-RITE 49348014110 V-R ZINC TAB 50MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

MISCELLANEOUS

Clemastine Fumarate Tab 1.34 MG (1 MG Base Equiv)

BrandNOVARTIS CONSUMER HEALTH, INC. 00067119008 TAVIST TAB 1.34MG

BrandNOVARTIS CONSUMER HEALTH, INC. 00067119016 TAVIST TAB 1.34MG

GenericGEISS, DESTIN & DUNN, INC. 00113028251 DAYHIST TAB 1.34MG

GenericGEISS, DESTIN & DUNN, INC. 00113028273 DAYHIST TAB 1.34MG

GenericMAJOR PHARMACEUTICALS 00904772988 CLEMASTINE TAB 1.34MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385018351 DAILYHIST-1 TAB 1.34MG

GenericLEADER 37205022873 ALLERHIST-1 TAB 1.34MG

GenericMCKESSON CORPORATION VALU-RITE 49348068603 ALLERGY RELF TAB 1.34MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614028273 ALLERHIST-1 TAB 1.34MG

Coal Tar Shampoo 0.5%

BrandPERSON & COVEY, INC. 00096072804 DHS TAR SHA



BrandPERSON & COVEY, INC. 00096073008 DHS TAR GEL SHA 0.5%

GenericMAJOR PHARMACEUTICALS 00904525944 THERAPEUTIC SHA SHAMPOO

GenericDOAK DERMATOLOGICS 10337072252 DOAK TAR SHA 0.5%

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868095116 THERAPEUTIC SHA GEL

Diphenhydramine w/ APAP Tab 25-500 MG (sleep)

GenericGEISS, DESTIN & DUNN, INC. 00113018571 PAIN RELIEVE TAB 500-25MG

GenericGEISS, DESTIN & DUNN, INC. 00113035571 ASPIRIN FREE TAB PM

GenericGEISS, DESTIN & DUNN, INC. 00113043771 PAIN RELIEVE TAB PM

GenericMAJOR PHARMACEUTICALS 00904765151 MAPAP PM TAB 25-500MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385043771 PAIN RELIEVR TAB SLEEP PM

GenericLEADER 37205006071 PAIN RELIEVE TAB PM EX ST



GenericMCKESSON CORPORATION VALU-RITE 49348029209 PAIN RELIEVE TAB PM EX ST



GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614043900 MEDI-TABS PM TAB 25-500MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614043971 MEDI-TABS PM TAB 25-500MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868009050 NON-ASPIRIN TAB PM

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868032550 PAIN RELIEVE TAB PM EX ST

Glucose Chew Tab 4 GM

BrandMCKESSON CORPORATION VALU-RITE 49348073409 SM GLUCOSE CHW SOUR APP

BrandMCKESSON CORPORATION VALU-RITE 49348091301 SM GLUCOSE CHW 4GM

BrandMCKESSON CORPORATION VALU-RITE 49348091409 SM GLUCOSE CHW ORANGE

BrandMCKESSON CORPORATION VALU-RITE 49348091501 SM GLUCOSE CHW 4GM

BrandMCKESSON CORPORATION VALU-RITE 49348091609 SM GLUCOSE CHW RASPBERY

Glucose Gel 40%

GenericVALEANT PHARMACEUTICALS NORTH AMERICA 00187074633 INSTA-GLUCOS GEL 40%

GenericPADDOCK LABORATORIES, INC. 00574006930 GLUTOSE 15 GEL 40%



Sodium Chloride Soln Nebu 0.9%

GenericNEPHRON PHARMACEUTICALS CORPORATION 00487930102 SOD CHLORIDE NEB 0.9%






Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

NICOTINE PATCHES / TABLETS

Nicotine TD Patch 24HR 14 MG/24HR

GenericNOVARTIS CONSUMER HEALTH, INC. 00067489007 NICOTINE DIS 14MG/24H


BrandGLAXOSMITHKLINE 00135014601 NICODERM CQ DIS 14MG/24H

GenericLEADER 37205036174 NICOTINE TD DIS 14MG/24H








GenericLEADER 37205035874 NICOTINE TD DIS 21MG/24H


GenericNOVARTIS CONSUMER HEALTH, INC. 00067482007 EQ NICOTINE DIS 7MG/24HR

GenericNOVARTIS CONSUMER HEALTH, INC. 00067512407 NICOTINE DIS 7MG/24HR

GenericNOVARTIS CONSUMER HEALTH, INC. 00067512414 NICOTINE DIS 7MG/24HR

BrandGLAXOSMITHKLINE 00135014701 NICODERM CQ DIS 7MG/24HR

GenericLEADER 37205036374 NICOTINE TD DIS 7MG/24HR

NICOTINE REPLACEMENT - OTHER

Nicotine Polacrilex Gum 2 MG

GenericGEISS, DESTIN & DUNN, INC. 00113002960 NICOTINE POL GUM 2MG

GenericGEISS, DESTIN & DUNN, INC. 00113020660 NICOTINE POL GUM 2MG

BrandGLAXOSMITHKLINE 00135015707 NICORETTE ST GUM 2MG

BrandGLAXOSMITHKLINE 00135015709 NICORETTE GUM 2MG

BrandGLAXOSMITHKLINE 00135015710 NICORETTE GUM 2MG

BrandGLAXOSMITHKLINE 00135017007 NICORETTE ST GUM 2MG MINT

BrandGLAXOSMITHKLINE 00135017009 NICORETTE GUM 2MG MINT



BrandGLAXOSMITHKLINE 00135022501 NICORETTE GUM 2MG FRMT

BrandGLAXOSMITHKLINE 00135022502 NICORETTE ST GUM 2MG FRMT

BrandGLAXOSMITHKLINE 00135024101 NICORETTE GUM 2MG FTCH


BrandGLAXOSMITHKLINE 00135046602 NICORETTE GUM 2MG CINN

GenericWATSON PHARMA, INC. 00536136206 NICOTINE POL GUM 2MG REF

GenericWATSON PHARMA, INC. 00536136223 NICOTINE POL GUM 2MG STRT


GenericWATSON PHARMA, INC. 00536310606 NICOTINE POL GUM 2MG



GenericMAJOR PHARMACEUTICALS 00904573411 NICORELIEF GUM 2MG




GenericLEADER 37205020323 NICOTINE GUM 2MG







Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericMCKESSON CORPORATION VALU-RITE 49348057308 NICOTINE POL GUM 2MG

GenericMCKESSON CORPORATION VALU-RITE 49348057336 NICOTINE POL GUM 2MG

GenericMCKESSON CORPORATION VALU-RITE 49348069109 SM NICOTINE GUM 2MG





GenericGEISS, DESTIN & DUNN, INC. 00113042260 NICOTINE POL GUM 4MG MINT

BrandGLAXOSMITHKLINE 00135017107 NICORETTE ST GUM 4MG MINT








BrandGLAXOSMITHKLINE 00135046702 NICORETTE GUM 4MG CINN


GenericWATSON PHARMA, INC. 00536137223 NICOTINE POL GUM 4MG STRT


GenericWATSON PHARMA, INC. 00536310706 NICOTINE POL GUM 4MG REG



GenericMAJOR PHARMACEUTICALS 00904573511 NICORELIEF GUM 4MG ORIG

GenericMAJOR PHARMACEUTICALS 00904573551 NICORELIEF GUM 4MG ORIG

GenericMAJOR PHARMACEUTICALS 00904573711 NICORELIEF GUM 4MG MINT

GenericMAJOR PHARMACEUTICALS 00904573751 NICORELIEF GUM 4MG MINT







GenericMCKESSON CORPORATION VALU-RITE 49348069209 SM NICOTINE GUM 4MG MINT




Nicotine Polacrilex Lozenge 2 MG

BrandGLAXOSMITHKLINE 00135020801 PA REQUIREDCOMMIT LOZ 2MG



BrandGLAXOSMITHKLINE 00135045201 PA REQUIREDCOMMIT LOZ 2MG CHRY



GenericMAJOR PHARMACEUTICALS 00904581962 PA REQUIREDNICORELIEF LOZ 2MG









Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required




GenericMAJOR PHARMACEUTICALS 00904582062 PA REQUIREDNICORELIEF LOZ 4MG

NSAIDS

Ibuprofen Susp 100 MG/5ML

GenericGEISS, DESTIN & DUNN, INC. 00113016626 CHLD IBUPROF SUS 100/5ML

GenericGEISS, DESTIN & DUNN, INC. 00113062326 IBUPROF CHLD SUS 100/5ML




GenericPHARMACEUTICAL ASSOCIATES, INC. 00121477405 IBUPROFEN SUS 100/5ML

GenericACTAVIS 00472125594 IBUPROFEN SUS 100/5ML

BrandWHITEHALL-ROBINS 00573017030 CHILD ADVIL SUS 100/5ML



GenericMAJOR PHARMACEUTICALS 00904530909 CHLD IBUPROF SUS 100/5ML




GenericBERGEN BRUNSWIG DRUG COMPANY 24385036126 CHLD IBUPROF SUS 100/5ML

GenericBERGEN BRUNSWIG DRUG COMPANY 24385037226 CHLD IBUPROF SUS 100/5ML

GenericLEADER 37205028226 CHLD IBUPROF SUS 100/5ML




GenericMCKESSON CORPORATION VALU-RITE 49348022834 CHLD IBUPROF SUS 100/5ML





GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614089726 MEDI-PROFEN SUS 100/5ML

GenericTARO PHARMACEUTICALS USA, INC. 51672250508 ELIXSURE IB SUS 100/5ML

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868075618 QC IBUPROFEN SUS 100/5ML

GenericVISTAPHARM, INC. 66689000950 IBUPROFEN SUS 100/5ML

GenericPRECISION DOSE, INC. 68094049458 IBUPROFEN SUS 100/5ML




GenericPRECISION DOSE, INC. 68094050359 CHLD IBUPROF SUS 100/5ML



Ibuprofen Tab 200 MG

GenericGEISS, DESTIN & DUNN, INC. 00113060462 IBUPROFEN TAB 200MG











Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required




GenericGOLDLINE LABORATORIES, INC. 00182103901 IBUPROFEN TAB 200MG




GenericGOLDLINE LABORATORIES, INC. 00182240101 GENPRIL TAB 200MG

GenericGOLDLINE LABORATORIES, INC. 00182240119 GENPRIL TAB 200MG


GenericWATSON PHARMA, INC. 00536310502 IBUPROFEN TAB 200MG

GenericWATSON PHARMA, INC. 00536310510 IBUPROFEN TAB 200MG

BrandWHITEHALL-ROBINS 00573015020 ADVIL TAB 200MG



















GenericMAJOR PHARMACEUTICALS 00904174760 IBU-200 TAB 200MG

GenericMAJOR PHARMACEUTICALS 00904532324 IBUPROFEN TAB 200MG











GenericSELECT BRAND DISTRIBUTORS 15127031201 SB IBUPROFEN TAB 200MG



GenericSELECT BRAND DISTRIBUTORS 15127031301 IBUPROFEN TAB 200MG









Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required





GenericPHARBEST PHARMACEUTICALS, INC. 16103037508 IBUPROFEN TAB 200MG

GenericLEADER 37205034171 IBUPROFEN TAB 200MG









GenericMCKESSON CORPORATION VALU-RITE 49348008709 IBUPROFEN TAB 200MG










GenericMCKESSON CORPORATION VALU-RITE 49348072609 SM IBUPROFEN TAB 200MG






GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614011671 MEDI-PROFEN TAB 200MG






GenericUDL LABORATORIES, INC. 51079073101 IBUPROFEN TAB 200MG

GenericUDL LABORATORIES, INC. 51079073120 IBUPROFEN TAB 200MG

GenericINTERPHARM, INC 53746013505 IBUPROFEN TAB 200MG










GenericPRIME MARKETING LLC 62107000201 PROVIL TAB 200MG

GenericPRIME MARKETING LLC 62107000250 PROVIL TAB 200MG

GenericMCKESSON PACKAGING SERVICE, A DIVISION 63739013401 IBUPROFEN TAB 200MG





Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required




GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868034110 IBUPROFEN TAB 200MG



GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868079050 QC IBUPROFEN TAB 200MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868079150 QC IBUPROFEN TAB 200MG




GenericAKYMA PHARMACEUTICALS LLC 65162056510 IBUPROFEN TAB 200MG



GenericSDA LABORATORIES 66424099510 IBUPROFEN TAB 200MG

Naproxen Sodium Tab 220 MG

GenericGEISS, DESTIN & DUNN, INC. 00113036862 ALL DAY PAIN TAB 220MG




GenericGEISS, DESTIN & DUNN, INC. 00113049062 NAPROXEN SOD TAB 220MG



GenericGOLDLINE LABORATORIES, INC. 00182109716 NAPROXEN SOD TAB 220MG




GenericMAJOR PHARMACEUTICALS 00904522951 NAPROXEN SOD TAB 220MG

GenericMAJOR PHARMACEUTICALS 00904522959 NAPROXEN SOD TAB 220MG

GenericMAJOR PHARMACEUTICALS 00904523051 ALL DAY RELI TAB 220MG

GenericMAJOR PHARMACEUTICALS 00904523059 ALL DAY RELI TAB 220MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385036871 NAPROXEN SOD TAB 220MG



GenericLEADER 37205026171 NAPROXEN SOD TAB 220MG



GenericMCKESSON CORPORATION VALU-RITE 49348081909 SM ALL DAY TAB RELIEF




GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614014271 NAPROXEN SOD TAB 220MG

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614014278 NAPROXEN SOD TAB 220MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868046501 NAPROXEN SOD TAB 220MG






OP. ANTIALLERGICS

Ketotifen Fumarate Ophth Soln 0.025% (Base Equiv)




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Ketotifen Fumarate Ophth Soln 0.025% (Base Equiv)

BrandNOVARTIS 00078047661 ZADITOR SOL 0.025%OP

GenericBAUSCH & LOMB INC. 24208060110 ALAWAY DRO 0.025%OP

OP. ARTIFICIAL TEARS AND LUBRICANTS

*Artificial Tear Ophth Ointment***

BrandALLERGAN INC 00023031204 LACRI-LUBE OIN S.O.P.

BrandALLERGAN INC 00023031207 LACRI-LUBE OIN S.O.P.

BrandALLERGAN INC 00023066704 REFRESH-PM OIN OP

GenericE FOUGERA AND CO. 00168015011 PURALUBE OIN OP

GenericE FOUGERA AND CO. 00168015038 PURALUBE OIN OP

GenericGOLDLINE LABORATORIES, INC. 00182505631 EYE LUBRICAN OIN OP

GenericWATSON PHARMA, INC. 00536655091 ARTIFI TEARS OIN OP

GenericMAJOR PHARMACEUTICALS 00904516838 LUBRIFRESH OIN P.M.

BrandAKORN INC 17478006235 AKWA TEARS OIN OP

GenericAKORN INC 17478006335 TEARS RENEW OIN OP

GenericLEADER 37205013479 DRY EYES OIN OP

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614030808 ARTIFI TEARS OIN OP

*Artificial Tear Ophth Solution***

GenericALCON LABORATORIES, INC. 00065041625 TEARS NATURA SOL FREE OP

GenericALCON LABORATORIES, INC. 00065041636 TEARS NATURA SOL FREE OP

GenericALCON LABORATORIES, INC. 00065041815 TEARS NATURA SOL II OP

GenericALCON LABORATORIES, INC. 00065041830 TEARS NATURA SOL II OP

GenericALCON LABORATORIES, INC. 00065041918 BION TEARS SOL OP

GenericALCON LABORATORIES, INC. 00065041928 BION TEARS SOL OP

GenericALCON LABORATORIES, INC. 00065042622 TEARS NATURA SOL FORTE

GenericALCON LABORATORIES, INC. 00065042623 TEARS NATURA SOL FORTE

GenericWATSON PHARMA, INC. 00536623772 NATURE'S SOL TEARS

GenericMAJOR PHARMACEUTICALS 00904501835 NATURAL SOL BALANCE

GenericAKORN INC 17478006112 TEARS RENEWE SOL OP

GenericLEADER 37205060305 TEARS PURE SOL

GenericMCKESSON CORPORATION VALU-RITE 49348069929 SM ARTIFICIA SOL TEARS

GenericOCUSOFT INC. 54799090415 TEARS AGAIN SOL OP

GenericOCUSOFT INC. 54799090515 TEARS AGAIN SOL MC

Carboxymethylcellulose Sodium Ophth Soln 0.5%

BrandALLERGAN INC 00023040330 REFRESH PLUS SOL 0.5% OP



GenericALLERGAN INC 00023079815 REFRESH TEAR SOL 0.5% OP

GenericALLERGAN INC 00023079830 REFRESH TEAR SOL 0.5% OP



Carboxymethylcellulose Sodium Ophth Soln 1%

BrandALLERGAN INC 00023455430 CELLUVISC SOL 1% OP

BrandALLERGAN INC 00023920515 REFRESH SOL 1%

BrandALLERGAN INC 00023920530 REFRESH SOL 1%

Glycerin-Polysorbate 80 Ophth Soln 1-1%

BrandALLERGAN INC 00023923520 REFRESH ENDU DRO 1-1%

Hypromellose Ophth Soln 0.2%

BrandNOVARTIS 58768079115 GENTEAL MILD DRO 0.2%

BrandNOVARTIS 58768079125 GENTEAL MILD DRO 0.2%





Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


BrandNOVARTIS 58768078815 GENTEAL SOL OPTH

BrandNOVARTIS 58768078825 GENTEAL SOL OPTH

Polyvinyl Alcohol Ophth Soln 1.4%

GenericGOLDLINE LABORATORIES, INC. 00182154364 TEARGEN SOL OP

GenericWATSON PHARMA, INC. 00536197072 ARTIFI TEARS SOL OP

GenericUNITED RESEARCH LABORATORIES 00677098530 ARTIFICIAL SOL TEARS OP

GenericMAJOR PHARMACEUTICALS 00904501735 LIQUITEARS SOL

GenericAKORN INC 17478006012 AKWA TEARS SOL OP

GenericLEADER 37205013705 ARTIFICIAL SOL TEARS

Polyvinyl Alcohol-Povidone Ophth Soln 1.4-0.6%

BrandALLERGAN INC 00023050601 REFRESH SOL OP

BrandALLERGAN INC 00023050650 REFRESH SOL OP

GenericOPTICS LABORATORY, INC. 64108021212 OPTICS MINI DRO

GenericOPTICS LABORATORY, INC. 64108021213 OPTICS MINI DRO

OP. MISC

Naphazoline w/ Pheniramine Ophth Soln 0.025-0.3%

BrandALCON LABORATORIES, INC. 00065008515 NAPHCON-A SOL OP

Sodium Chloride Hypertonic Ophth Oint 5%

GenericMAJOR PHARMACEUTICALS 00904531538 SOD CHLORIDE OIN 5% OP

GenericAKORN INC 17478062235 SOD CHLORIDE OIN 5% OP

BrandBAUSCH & LOMB INC. 24208038555 MURO 128 OIN 5% OP

BrandBAUSCH & LOMB INC. 24208038556 MURO 128 OIN 5% OP

GenericLEADER 37205052683 SOD CHLORIDE OIN 5% OP

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614041008 SOD CHLORIDE OIN 5% OP

GenericOCUSOFT INC. 54799092635 SOD CHLORIDE OIN 5% OP

Sodium Chloride Hypertonic Ophth Soln 5%

GenericWATSON PHARMA, INC. 00536041772 SOD CHLORIDE SOL 5% OP

GenericMAJOR PHARMACEUTICALS 00904531435 SOD CHLORIDE SOL 5% OP

GenericAKORN INC 17478062312 SOD CHLORIDE SOL 5% OP

BrandBAUSCH & LOMB INC. 24208027715 MURO 128 SOL 5% OP

BrandBAUSCH & LOMB INC. 24208027730 MURO 128 SOL 5% OP

GenericLEADER 37205052505 SOD CHLORIDE SOL 5% OP

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614040605 SOD CHLORIDE SOL 5% OP

GenericOCUSOFT INC. 54799092515 SOCHLOR SOL 5% OP

Tetrahydrozoline HCl Ophth Soln 0.05%

GenericGOLDLINE LABORATORIES, INC. 00182169233 GENEYES SOL 0.05% OP

GenericWATSON PHARMA, INC. 00536094094 TETRAHYDROZ SOL 0.05% OP

GenericMAJOR PHARMACEUTICALS 00904299235 OPTI-CLEAR SOL 0.05% OP

GenericLEADER 37205013905 EYE DROPS SOL 0.05% OP

GenericLEADER 37205022405 EYE DROPS SOL 0.05% OP

GenericMCKESSON CORPORATION VALU-RITE 49348003729 SM EYE DROPS SOL 0.05% OP

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614029705 EYE DROPS SOL 0.05% OP

GenericHI-TECH PHARMACAL CO. INC. 50383001015 REDNESS RELI SOL EYE DROP

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868037605 QC EYE DROPS SOL 0.05% OP

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868037705 QC EYE DROPS SOL 0.05% OP

TOPICAL - ACNE PREPARATIONS

Benzoyl Peroxide Gel 10%

GenericSTIEFEL LABORATORIES, INC, 00145265704 PANOXYL AQUA GEL 10%

GenericWATSON PHARMA, INC. 00536409256 BENZOYL PER GEL 10%




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericQUALITEST PHARMACEUTICALS, INC. 00603771082 BENZOYL PER GEL 10%

GenericBERGEN BRUNSWIG DRUG COMPANY 24385042349 ACNE 10 GEL 10%


GenericWATSON PHARMA, INC. 00536408956 BENZOYL PER GEL 5%

GenericQUALITEST PHARMACEUTICALS, INC. 00603770982 BENZOYL PER GEL 5%

TOPICAL - ANTIBIOTIC

*Neomycin-Bacitracin-Polymyxin Oint***

GenericE FOUGERA AND CO. 00168001209 BAC/NEO/POLY OIN



GenericGOLDLINE LABORATORIES, INC. 00182023230 TRIPLE ANTIB OIN

GenericGOLDLINE LABORATORIES, INC. 00182512234 TRIPLE ANTIB OIN

GenericACTAVIS 00472017909 TRIPLE ANTIB OIN



GenericWATSON PHARMA, INC. 00536110095 TRIPLE ANTIB OIN

GenericQUALITEST PHARMACEUTICALS, INC. 00603064450 TRIPLE ANTIB OIN

GenericG&W LABORATORIES, INC 00713026831 TRIPLE ANTIB OIN

GenericMAJOR PHARMACEUTICALS 00904073431 TRIPLE ANTIB OIN

GenericMAJOR PHARMACEUTICALS 00904073436 TRIPLE ANTIB OIN

GenericLEADER 37205027310 TRIPLE ANTIB OIN

GenericPERRIGO PHARMACEUTICALS 45802006101 TRIPLE ANTIB OIN



GenericMCKESSON CORPORATION VALU-RITE 49348002972 SM TRIPLE OIN ANTIBIOT

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614040910 TRIPLE ANTIB OIN

GenericTARO PHARMACEUTICALS USA, INC. 51672201601 TRIPLE ANTIB OIN

GenericTARO PHARMACEUTICALS USA, INC. 51672201602 TRIPLE ANTIB OIN

GenericPRIME MARKETING LLC 62107000703 NEOPORACIN OIN

GenericPRIME MARKETING LLC 62107000715 NEOPORACIN OIN

Bacitracin Oint 500 Unit/GM

GenericGOLDLINE LABORATORIES, INC. 00182020830 BACITRACIN OIN 500/GM



GenericQUALITEST PHARMACEUTICALS, INC. 00603044150 BACITRACIN OIN 500/GM

GenericG&W LABORATORIES, INC 00713028031 BACITRACIN OIN 500/GM

GenericBERGEN BRUNSWIG DRUG COMPANY 24385006003 BACITRACIN OIN 500/GM

GenericLEADER 37205027510 BACITRACIN OIN 500/GM

GenericPERRIGO PHARMACEUTICALS 45802006001 BACITRACIN OIN 500/GM



GenericMCKESSON CORPORATION VALU-RITE 49348015472 SM FIRST AID OIN 500/GM

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614041810 BACITRACIN OIN 500/GM

GenericTARO PHARMACEUTICALS USA, INC. 51672200501 BACITRACIN OIN 500/GM

GenericPRIME MARKETING LLC 62107001103 BACTERICIN OIN 500/GM

GenericPRIME MARKETING LLC 62107001115 BACTERICIN OIN 500/GM

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868091628 BACITRACIN OIN 500/GM

TOPICAL - ANTIFUNGALS

Clotrimazole Cream 1%




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Clotrimazole Cream 1%

GenericGOLDLINE LABORATORIES, INC. 00182509533 CLOTRIMAZOLE CRE 1%

GenericGOLDLINE LABORATORIES, INC. 00182509534 CLOTRIMAZOLE CRE 1%

GenericMAJOR PHARMACEUTICALS 00904782231 CLORTIMAZOLE CRE A/F 1%

GenericMAJOR PHARMACEUTICALS 00904782236 CLORTIMAZOLE CRE A/F 1%

BrandSCHERING HEALTHCARE PRODUCTS 11523721501 LOTRIMIN AF CRE 1%

GenericLEADER 37205016010 CLOTRIMAZOLE CRE 1%

GenericPERRIGO PHARMACEUTICALS 45802043401 CLOTRIMAZOLE CRE 1%

GenericPERRIGO PHARMACEUTICALS 45802043411 CLOTRIMAZOLE CRE 1%

GenericMCKESSON CORPORATION VALU-RITE 49348027972 SM ANTIFUNGL CRE 1%


GenericTARO PHARMACEUTICALS USA, INC. 51672200201 CLOTRIMAZOLE CRE 1%

GenericTARO PHARMACEUTICALS USA, INC. 51672200202 CLOTRIMAZOLE CRE 1%

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868200202 CLOTRIMAZOLE CRE 1%

GenericMPM MEDICAL, INC. 66977002304 ANTI-FUNGAL CRE 1%

Miconazole Nitrate Cream 2%

BrandPFIZER, INC 00009771802 MICATIN CRE 2%

BrandPFIZER, INC 00009771902 MICATIN JOCK CRE 2%

GenericE FOUGERA AND CO. 00168014231 MICONAZOLE CRE 2%

GenericGOLDLINE LABORATORIES, INC. 00182506434 ANTI-FUNGAL CRE 2%

GenericACTAVIS 00472073514 MICONAZOLE CRE 2%



GenericQUALITEST PHARMACEUTICALS, INC. 00603780550 MICONAZOLE CRE 2%

GenericCOLOPLAST CORPORATION 11701003723 MICRO GUARD CRE 2%

GenericCOLOPLAST CORPORATION 11701004514 BAZA ANTIFUN CRE 2%




GenericTARO PHARMACEUTICALS USA, INC. 51672200101 MICONAZOLE CRE 2%


GenericCARRINGTON LABORATORIES, INC. 53303005050 ANTIFUNGAL CRE 2%

GenericMEDLINE INDUSTRIES, INC. 53329016204 REMEDY CRE ANTIFUNG

Tolnaftate Aerosol Pow 1%

GenericNOVARTIS CONSUMER HEALTH, INC. 00067611446 LAMISIL AF AER POWD 1%

BrandSCHERING HEALTHCARE PRODUCTS 11523077702 TINACTIN AER POWD 1%

GenericMCKESSON CORPORATION VALU-RITE 49348068212 SM ATHL FOOT AER POWD 1%

Tolnaftate Cream 1%

GenericE FOUGERA AND CO. 00168000815 TOLNAFTATE CRE 1%

GenericGOLDLINE LABORATORIES, INC. 00182503834 TOLNAFTATE CRE 1%

GenericACTAVIS 00472190015 TOLNAFTATE CRE 1%

GenericQUALITEST PHARMACEUTICALS, INC. 00603061873 Q-NAFTATE CRE 1%

GenericG&W LABORATORIES, INC 00713029231 TOLNAFTATE CRE 1%

GenericMAJOR PHARMACEUTICALS 00904072236 ANTIFUNGAL CRE 1%

GenericMARLOP PHARMACEUTICALS, INC. 12939042315 TINAMAR CRE 1%

GenericLEADER 37205019710 ANTIFUNGAL CRE 1%

GenericPERRIGO PHARMACEUTICALS 45802003201 TOLNAFTATE CRE 1%

GenericPERRIGO PHARMACEUTICALS 45802003203 TOLNAFTATE CRE 1%


GenericTARO PHARMACEUTICALS USA, INC. 51672202001 TOLNAFTATE CRE 1%

GenericTARO PHARMACEUTICALS USA, INC. 51672202002 TOLNAFTATE CRE 1%




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Tolnaftate Cream 1%

GenericPRIME MARKETING LLC 62107000815 TOLNAFTIN CRE 1%

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868010446 TOLNAFTATE CRE 1%

TOPICAL - ANTISEBORRHEICS

Selenium Sulfide Lotion 1%

GenericWATSON PHARMA, INC. 00536199553 SELENIUM SUL SHA 1%

TOPICAL - ANTISEPTICS / DISINFECTANTS

Chlorhexidine Gluconate Liquid 4%

GenericPURDUE PRODUCTS, L.P. 67618020001 BETASEPT LIQ 4%






Povidone-Iodine Soln 10%

GenericGOLDLINE LABORATORIES, INC. 00182076740 POVIDONE IOD SOL 10%

GenericQUALITEST PHARMACEUTICALS, INC. 00603155056 POVIDONE-IOD SOL 10%

GenericQUALITEST PHARMACEUTICALS, INC. 00603155058 POVIDONE-IOD SOL 10%

GenericMAJOR PHARMACEUTICALS 00904110309 POVIDONE-IOD SOL 10%

GenericBERGEN BRUNSWIG DRUG COMPANY 24385005355 POVIDONE-IOD SOL 10%

GenericPERRIGO PHARMACEUTICALS 45802005207 POVIDONE-IOD SOL 10%

GenericPERRIGO PHARMACEUTICALS 45802005255 POVIDONE-IOD SOL 10%

GenericMCKESSON CORPORATION VALU-RITE 49348062237 SM POVID-IOD SOL 10%

GenericMCKESSON CORPORATION VALU-RITE 49348062238 SM POVID-IOD SOL 10%

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614040734 POVIDONE-IOD SOL 10%

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868023008 QC HOSP ANTI SOL 10%

BrandPURDUE PRODUCTS, L.P. 67618015001 BETADINE SOL 10%








TOPICAL - ASTRINGENTS / PROTECTANTS

Zinc Oxide Oint 20%

GenericE FOUGERA AND CO. 00168006202 ZINC OXIDE OIN 20%



GenericGOLDLINE LABORATORIES, INC. 00182095243 ZINC OXIDE OIN 20%

GenericGOLDLINE LABORATORIES, INC. 00182095245 ZINC OXIDE OIN 20%

GenericACTAVIS 00472180016 ZINC OXIDE OIN 20%



GenericWATSON PHARMA, INC. 00536570098 ZINC OXIDE OIN 20%

GenericG&W LABORATORIES, INC 00713029332 ZINC OXIDE OIN 20%

GenericBERGEN BRUNSWIG DRUG COMPANY 24385008603 ZINC OXIDE OIN 20%

GenericPERRIGO PHARMACEUTICALS 45802008603 ZINC OXIDE OIN 20%

GenericPERRIGO PHARMACEUTICALS 45802008610 ZINC OXIDE OIN 20%

GenericGALLIPOT INCORPORATED 51552069306 ZINC OXIDE OIN 20%




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

TOPICAL - CORTICOSTEROIDS

Hydrocortisone Cream 0.5%

GenericE FOUGERA AND CO. 00168001431 HYDROCORT CRE 0.5%

GenericLEADER 37205010110 HYDROCORT CRE 0.5%

GenericMCKESSON CORPORATION VALU-RITE 49348002172 HYDROCORT CRE 0.5%

Hydrocortisone Cream 1%

GenericAVENTIS PHARMACEUTICALS, INC. 00066804201 HYTONE CRE 1%

GenericE FOUGERA AND CO. 00168015408 HYDROCORT CRE 1%

GenericE FOUGERA AND CO. 00168015431 HYDROCORT CRE 1%

GenericGOLDLINE LABORATORIES, INC. 00182095034 HYDROCORT CRE 1%

GenericACTAVIS 00472034356 HYDROCORT CRE 1%

GenericWATSON PHARMA, INC. 00536510895 HYDROCORT CRE 1%

GenericWHITEHALL-ROBINS 00573283010 PREP H HC CRE 1%

GenericQUALITEST PHARMACEUTICALS, INC. 00603053550 HYDROCORT CRE 1%

GenericMAJOR PHARMACEUTICALS 00904762331 HYDROCORT CRE 1%

GenericBERGEN BRUNSWIG DRUG COMPANY 24385002103 HYDROCORT CRE 1%

GenericLEADER 37205016210 HYDROCORT CRE 1%

GenericPERRIGO PHARMACEUTICALS 45802043802 HYDROCORT CRE 1%




GenericMCKESSON CORPORATION VALU-RITE 49348052172 SM HYDROCORT CRE 1%

GenericTARO PHARMACEUTICALS USA, INC. 51672201301 HYDROCORT CRE 1%





GenericPRIME MARKETING LLC 62107001003 HYDROCORT CRE 1%

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868020001 QC HYDROCORT CRE 1%

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868020212 QC HYDROCORT CRE 1%

Hydrocortisone Lotion 1%

GenericPERSON & COVEY, INC. 00096073204 AQUANIL HC LOT 1%

GenericSTIEFEL LABORATORIES, INC, 00145062202 SARNOL-HC LOT 1%

GenericE FOUGERA AND CO. 00168028704 HYDROCORT LOT 1%

GenericWATSON PHARMA, INC. 00536510597 HYDROCORT LOT 1%

GenericQUALITEST PHARMACEUTICALS, INC. 00603778454 HYDROCORT LOT 1%

GenericPERRIGO PHARMACEUTICALS 45802028306 HYDROCORT LOT 1%

GenericBETA DERMACEUTICALS INC. 53062001202 BETA HC LOT 1%

Hydrocortisone Oint 0.5%

GenericE FOUGERA AND CO. 00168001631 HYDROCORT OIN 0.5%

GenericTARO PHARMACEUTICALS USA, INC. 51672201502 HYDROCORT OIN 0.5%

Hydrocortisone Oint 1%

GenericE FOUGERA AND CO. 00168018131 HYDROCORT OIN 1%

GenericACTAVIS 00472034556 HYDROCORT OIN 1%

GenericLEADER 37205016110 HYDROCORT OIN 1%

GenericMCKESSON CORPORATION VALU-RITE 49348052272 SM HYDROCORT OIN 1%

GenericTARO PHARMACEUTICALS USA, INC. 51672201802 HYDROCORT OIN 1%

TOPICAL - EMOLLIENTS

*Emollient - Lotion**

BrandHEALTHPOINT, LTD. 00064219016 WIBI LOT




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

*Emollient - Lotion**

BrandAVENTIS PHARMACEUTICALS, INC. 00066010566 SHEPARD'S LOT

BrandAVENTIS PHARMACEUTICALS, INC. 00066010574 SHEPARD'S LOT

GenericPERSON & COVEY, INC. 00096072208 DML LOT

GenericPERSON & COVEY, INC. 00096072216 DML LOT

BrandSTIEFEL LABORATORIES, INC, 00145062404 EPILYT LOT

GenericGOLDLINE LABORATORIES, INC. 00182602044 THERAPEUTIC LOT BATH

BrandUPSHER-SMITH LABORATORIES, INC. 00245002216 AMLACTIN XL LOT

BrandWARNER CHILCOTT LABORATORIES 00430310010 MOISTUREL LOT

BrandWARNER CHILCOTT LABORATORIES 00430310011 MOISTUREL LOT

BrandPEDINOL PHARMACAL INC 00884304208 HYDRISINOL LOT

GenericMAJOR PHARMACEUTICALS 00904429909 THERA-DERM LOT

BrandMAJOR PHARMACEUTICALS 00904530016 LUBRISOFT LOT UNSCENTE

GenericMAJOR PHARMACEUTICALS 00904775216 MINERIN LOT

GenericPERRIGO PHARMACEUTICALS 45802059355 THERA-P HAND LOT & BODY

GenericPERRIGO PHARMACEUTICALS 45802060317 DERMALUBE LOT

GenericMCKESSON CORPORATION VALU-RITE 49348021538 SKIN CLEANSR LOT SENSITIV

GenericMCKESSON CORPORATION VALU-RITE 49348050538 SM DRY SKIN LOT THERAPY

*Emollient - Ointment**

GenericDERMARITE INDUSTRIES, LLC 61924018404 DERMAPHOR OIN

GenericDERMARITE INDUSTRIES, LLC 61924018416 DERMAPHOR OIN

Lactic Acid (Ammonium Lactate) Cream 12%

GenericUPSHER-SMITH LABORATORIES, INC. 00245002414 AMLACTIN CRE 12%

GenericPERRIGO PHARMACEUTICALS 45802051377 AMMONIUM LAC CRE 12%

GenericNNODUM PHARMACEUTICAL CORPORATION 63044040420 AMMONIUM LAC CRE 12%

Lactic Acid (Ammonium Lactate) Lotion 12%

GenericUPSHER-SMITH LABORATORIES, INC. 00245002322 PA REQUIREDAMLACTIN LOT 12%

GenericUPSHER-SMITH LABORATORIES, INC. 00245002340 PA REQUIREDAMLACTIN LOT 12%

GenericPERRIGO PHARMACEUTICALS 45802052526 AMMONIUM LAC LOT 12%

GenericPERRIGO PHARMACEUTICALS 45802052555 AMMONIUM LAC LOT 12%

GenericNNODUM PHARMACEUTICAL CORPORATION 63044048409 AMMONIUM LAC LOT 12%

Lactic Acid (Ammonium Lactate) Lotion 5%

GenericWESTWOOD-SQUIBB PHARMACEUTICALS 00072576004 LAC-HYDRIN LOT FIVE

GenericWESTWOOD-SQUIBB PHARMACEUTICALS 00072576008 LAC-HYDRIN LOT FIVE

BrandSTIEFEL LABORATORIES, INC, 00145062605 LACTICARE LOT 5%

BrandSTIEFEL LABORATORIES, INC, 00145062607 LACTICARE LOT 5%

Urea Cream 20%

GenericPEDINOL PHARMACAL INC 00884044904 UREACIN-20 CRE 20%

BrandDOAK DERMATOLOGICS 10337065119 CARMOL 20 CRE 20%

TOPICAL - LOCAL ANESTHETICS

Capsaicin Cream 0.025%

GenericWATSON PHARMA, INC. 00536252525 CAPSAICIN CRE 0.025%

GenericQUALITEST PHARMACEUTICALS, INC. 00603064888 TRIXAICIN CRE 0.025%

GenericPRIME MARKETING LLC 62107000302 CAPREX CRE 0.025%

Capsaicin Cream 0.075%

GenericQUALITEST PHARMACEUTICALS, INC. 00603064988 TRIXAICIN HP CRE 0.075%

GenericPRIME MARKETING LLC 62107000402 CAPREX + CRE 0.075%

Dibucaine Oint 1%

BrandE FOUGERA AND CO. 00168004631 DIBUCAINE OIN 1%

TOPICAL - SCABICIDES AND PEDICULICIDES




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Permethrin Creme Rinse 1%

GenericMCKESSON CORPORATION VALU-RITE 49348014330 V-R LICE RIN LIQ 1%

Permethrin Lotion 1%

GenericACTAVIS 00472524267 PERMETHRIN LOT 1%

GenericACTAVIS 00472524269 PERMETHRIN LOT 1%

GenericMCKESSON CORPORATION VALU-RITE 49348046030 SM LICE LOT TREATMNT

GenericMCKESSON CORPORATION VALU-RITE 49348046034 SM LICE LOT TREATMNT

Pyrethrins-Piperonyl Butoxide Liq 0.3-3%

GenericSELECT BRAND DISTRIBUTORS 15127020603 LICE TREATME LIQ

GenericSELECT BRAND DISTRIBUTORS 15127020608 LICE TREATME LIQ

GenericMCKESSON CORPORATION VALU-RITE 49348044330 LICE KILLING SHA


Pyrethrins-Piperonyl Butoxide Liq 0.33-4%

GenericLEADER 37205028516 LICE TREATMN LIQ CRM RNSE

GenericLEADER 37205028526 LICE TREATMN LIQ CRM RNSE


GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614053426 LICE TRTMNT LIQ CRM RNSE

Pyrethrins-Piperonyl Butoxide Shampoo 0.3-3%

GenericGOLDLINE LABORATORIES, INC. 00182616737 LICE TRTMNT SHA MAX STR

GenericGOLDLINE LABORATORIES, INC. 00182616743 LICE TRTMNT SHA MAX STR

GenericBERGEN BRUNSWIG DRUG COMPANY 24385011603 LICE TRTMNT SHA 0.3-3%

Pyrethrins-Piperonyl Butoxide Shampoo 0.33-4%

GenericLEADER 37205016526 LICE KILLING SHA

VAGINAL - ANTI FUNGALS

Clotrimazole Vaginal Cream 1%

GenericGOLDLINE LABORATORIES, INC. 00182503160 CLOTRIMAZOLE CRE 1% VAG

GenericACTAVIS 00472022041 CLOTRIMAZOLE CRE 1%

GenericACTAVIS 00472022063 CLOTRIMAZOLE CRE 1%

GenericMCKESSON CORPORATION VALU-RITE 49348079376 CLOTRIMAZOLE CRE 1% VAG

GenericTARO PHARMACEUTICALS USA, INC. 51672200306 CLOTRIMAZOLE CRE 1% VAG

Clotrimazole Vaginal Cream 2%

GenericMCKESSON CORPORATION VALU-RITE 49348037954 3 DAY VAGINL CRE 2%

GenericTARO PHARMACEUTICALS USA, INC. 51672670800 CLOTRIMAZOLE CRE 3 DAY

Miconazole Nitrate Vaginal Cream 2%

GenericGEISS, DESTIN & DUNN, INC. 00113021429 MICONAZOLE CRE TUBE/KIT

GenericGEISS, DESTIN & DUNN, INC. 00113082529 MICONAZOLE 7 CRE 2%

GenericGOLDLINE LABORATORIES, INC. 00182507460 MICONAZOLE CRE 2%



GenericWATSON PHARMA, INC. 00536142326 MICONAZOLE 7 CRE 2%

GenericG&W LABORATORIES, INC 00713025237 MICONAZOLE CRE 2%

GenericMAJOR PHARMACEUTICALS 00904773445 MICONAZOLE CRE 2%

GenericMAJOR PHARMACEUTICALS 00904773457 MICONAZOLE CRE 2%

GenericBERGEN BRUNSWIG DRUG COMPANY 24385059029 MICONAZOLE 7 CRE 2%

GenericLEADER 37205059029 MICONAZOLE 7 CRE 2%

GenericMCKESSON CORPORATION VALU-RITE 49348053077 MICONAZOLE 7 CRE 2% VAGIN

GenericMCKESSON CORPORATION VALU-RITE 49348087277 MICONAZOLE 7 CRE 2% VAGIN

GenericMEDICINE SHOPPE INTERNATIONAL, INC. 49614059029 MICONAZOLE 7 CRE 2%


GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868020046 MICONAZOLE 7 CRE 2%




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Miconazole Nitrate Vaginal Kit

GenericLEADER 37205058303 MICONAZOLE 3 KIT COMBINAT

Miconazole Nitrate Vaginal Supp 200 MG & 2% Cream 9 GM Kit

GenericMAJOR PHARMACEUTICALS 00904541501 MICONAZOLE 3 KIT COMBO PK

GenericBERGEN BRUNSWIG DRUG COMPANY 24385060602 MICONAZOLE 3 KIT COMBO PK

GenericLEADER 37205058903 MICONAZOLE 3 KIT COMBO PK

Miconazole Nitrate Vaginal Suppos 100 MG

GenericACTAVIS 00472173607 MICONAZOLE 7 SUP 100MG

GenericG&W LABORATORIES, INC 00713019757 MICONAZOLE SUP 100MG

GenericMCKESSON CORPORATION VALU-RITE 49348083361 SM MICON 7 SUP 100MG

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868019907 MICONAZOLE 7 SUP 100MG

VITAMINS

Ascorbic Acid Chew Tab 250 MG

GenericMCKESSON CORPORATION VALU-RITE 49348038710 V-R VIT C CHW 250MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258014201 VITAMIN C CHW 250MG

Ascorbic Acid Chew Tab 500 MG

GenericGOLDLINE LABORATORIES, INC. 00182170401 VITAMIN C CHW 500MG

GenericWATSON PHARMA, INC. 00536329101 VITAMIN C CHW 500MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385029378 VITAMIN C CHW 500MG

GenericMCKESSON CORPORATION VALU-RITE 49348038810 VITAMIN C CHW 500MG

Ascorbic Acid Syrup 500 MG/5ML

GenericWATSON PHARMA, INC. 00536016085 VITAMIN C SYP 500/5ML

GenericWATSON PHARMA, INC. 00536016097 VITAMIN C SYP 500/5ML

GenericHI-TECH PHARMACAL CO. INC. 50383016716 VITAMIN C SYP 500/5ML

Ascorbic Acid Tab 1000 MG

GenericGOLDLINE LABORATORIES, INC. 00182152801 VITAMIN C TAB 1000MG


GenericBERGEN BRUNSWIG DRUG COMPANY 24385029878 VITAMIN C TAB 1000MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385031272 C/ROSE HIPS TAB 1000MG

GenericMCKESSON CORPORATION VALU-RITE 49348032710 SM C/R HIPS TAB 1000MG

GenericMCKESSON CORPORATION VALU-RITE 49348039010 VITAMIN C TAB 1000MG




GenericMCKESSON CORPORATION VALU-RITE 49348008010 VITAMIN C TAB 250MG





GenericWATSON PHARMA, INC. 00536329201 VITAMIN C TAB 500MG

GenericWATSON PHARMA, INC. 00536329210 VITAMIN C TAB 500MG

GenericWATSON PHARMA, INC. 00536515501 C/ROSE HIPS TAB 500MG




GenericBERGEN BRUNSWIG DRUG COMPANY 24385031178 C/ROSE HIPS TAB 500MG

GenericMCKESSON CORPORATION VALU-RITE 49348038510 SM VIT C/RH TAB 500MG

GenericMCKESSON CORPORATION VALU-RITE 49348043010 SM VITAMIN C TAB 500MG

GenericGEMINI PHARMACEUTICALS, INC. 51645092001 VITAMIN C TAB 500MG

GenericGEMINI PHARMACEUTICALS, INC. 51645092010 VITAMIN C TAB 500MG

GenericCYPRESS PHARMACEUTICAL, LLC 60258014101 VITAMIN C TAB 500MG




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required


GenericPRIME MARKETING LLC 62107004601 VITAMIN C TAB 500MG

GenericPRIME MARKETING LLC 62107004610 VITAMIN C TAB 500MG

Cyanocobalamin Tab 100 MCG

GenericWATSON PHARMA, INC. 00536354201 VITAMIN B-12 TAB 100MCG

GenericMCKESSON CORPORATION VALU-RITE 49348039210 SM VIT B-12 TAB 100MCG


GenericGOLDLINE LABORATORIES, INC. 00182101701 VITAMIN B-12 TAB 1000MCG



GenericGOLDLINE LABORATORIES, INC. 00182003701 VITAMIN B-12 TAB 500MCG


GenericBERGEN BRUNSWIG DRUG COMPANY 24385011778 VITAMIN B12 TAB 500MCG

GenericMCKESSON CORPORATION VALU-RITE 49348082110 SM VIT B-12 TAB 500MCG

Ergocalciferol Soln 8000 Unit/ML

BrandSANOFI-AVENTIS, US LLC 00024039102 DRISDOL DRO 8000/ML

GenericSCHWARZ PHARMA, LLC 00091415060 CALCIFEROL DRO 8000/ML

Folic Acid Tab 400 MCG

GenericGOLDLINE LABORATORIES, INC. 00182430901 FOLIC ACID TAB 400MCG

GenericWATSON PHARMA, INC. 00536384401 FOLIC ACID TAB 400MCG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385028685 FOLIC ACID TAB 400MCG

GenericMCKESSON CORPORATION VALU-RITE 49348082519 SM FOLIC ACD TAB 400MCG

Folic Acid Tab 800 MCG

GenericWATSON PHARMA, INC. 00536384301 FOLIC ACID TAB 800MCG

Niacin Cap CR 250 MG

GenericGOLDLINE LABORATORIES, INC. 00182081101 NIACIN CAP 250MG CR

GenericWATSON PHARMA, INC. 00536407401 NICOTINIC AC CAP 250MG SR

GenericQUALITEST PHARMACEUTICALS, INC. 00603473621 NIACIN CAP 250MG TD

GenericQUALITEST PHARMACEUTICALS, INC. 00603473632 NIACIN CAP 250MG TD

GenericTIME-CAP LABS, INC. 49483001401 NIACIN CAP 250MG SR


Niacin Cap CR 500 MG

GenericGOLDLINE LABORATORIES, INC. 00182441801 NIACIN CAP 500MG TD

GenericGOLDLINE LABORATORIES, INC. 00182441810 NIACIN CAP 500MG TD

GenericWATSON PHARMA, INC. 00536407701 NIACIN CAP 500MG SR


Niacin Tab 100 MG

GenericGOLDLINE LABORATORIES, INC. 00182000101 NIACIN TAB 100MG

GenericWATSON PHARMA, INC. 00536407601 NIACIN TAB 100MG


GenericCONTRACT PHARMACAL CORP 10267001201 NIACIN TAB 100MG

GenericCONTRACT PHARMACAL CORP 10267001204 NIACIN TAB 100MG

Niacin Tab 250 MG


Niacin Tab 50 MG



Niacin Tab 500 MG

GenericE.R. SQUIBB & SONS, INC. 00003053750 NIACIN TAB 500MG






Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

Niacin Tab CR 1000 MG

BrandWATSON PHARMA, INC. 00536703801 NIACIN TR TAB 1000MG


GenericUPSHER-SMITH LABORATORIES, INC. 00245006211 SLO-NIACIN TAB 250MG CR

GenericBERGEN BRUNSWIG DRUG COMPANY 24385096978 NIACIN TAB 250MG TR

GenericMCKESSON CORPORATION VALU-RITE 49348051710 SM NIACIN TAB 250MG CR


GenericGOLDLINE LABORATORIES, INC. 00182441701 NIACIN TAB 500MG TD

BrandUPSHER-SMITH LABORATORIES, INC. 00245006311 SLO-NIACIN TAB 500MG CR

GenericWATSON PHARMA, INC. 00536703001 NIACIN TAB 500MG TR

Pyridoxine HCl Tab 100 MG

GenericGOLDLINE LABORATORIES, INC. 00182008701 VITAMIN B-6 TAB 100MG

GenericWATSON PHARMA, INC. 00536440901 PYRIDOXINE TAB 100MG

GenericBERGEN BRUNSWIG DRUG COMPANY 24385011578 VITAMIN B-6 TAB 100MG

GenericMCKESSON CORPORATION VALU-RITE 49348039410 SM VIT B-6 TAB 100MG

GenericPRIME MARKETING LLC 62107006101 VITAMIN B-6 TAB 100MG



GenericVERSAPHARM INCORPORATED 61748009201 PYRIDOXINE TAB 25MG







GenericBERGEN BRUNSWIG DRUG COMPANY 24385011278 VITAMIN B-6 TAB 50MG

GenericMCKESSON CORPORATION VALU-RITE 49348039310 SM VIT B-6 TAB 50MG




Thiamine HCl Tab 100 MG



GenericWATSON PHARMA, INC. 00536468001 THIAMINE HCL TAB 100MG

GenericWATSON PHARMA, INC. 00536468010 THIAMINE HCL TAB 100MG


Thiamine HCl Tab 50 MG

GenericWATSON PHARMA, INC. 00536467801 VITAMIN B-1 TAB 50MG


Vitamin E Cap 100 Unit

GenericWATSON PHARMA, INC. 00536479301 VITAMIN E CAP 100UNIT


GenericGOLDLINE LABORATORIES, INC. 00182008301 VITAMIN E CAP 1000UNIT



GenericBERGEN BRUNSWIG DRUG COMPANY 24385031971 VITAMIN E CAP 1000UNIT



GenericMCKESSON CORPORATION VALU-RITE 49348010010 VITAMIN E CAP 1000UNIT






Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required







GenericMCKESSON CORPORATION VALU-RITE 49348009810 SM VITAMIN E CAP 200UNIT






GenericWATSON PHARMA, INC. 00536544001 VIT E D-ALPH CAP 400UNIT

GenericQUALITEST PHARMACEUTICALS, INC. 00603033121 VITAMIN E CAP 400UNIT

GenericQUALITEST PHARMACEUTICALS, INC. 00603033132 VITAMIN E CAP 400UNIT











GenericPRIME MARKETING LLC 62107006401 VITAMIN E CAP 400UNIT

Vitamin E Soln 50 Unit/ML

GenericSILARX PHARMACEUTICALS, INC. 54838000530 PA REQUIREDAQUEOUS E DRO 15/0.3ML

GenericCYPRESS PHARMACEUTICAL, LLC 60258011130 PA REQUIREDAQUAVIT-E SOL 15/0.3ML

VITAMINS - MISC.

*B-Complex Vitamin Cap**

GenericWATSON PHARMA, INC. 00536478701 VITAMIN B CO CAP

*B-Complex w/ C & Folic Acid Tab 0.8 MG***

BrandWATSON PHARMA, INC. 00536730001 PA REQUIREDNEPHRO-VITE TAB

GenericCYPRESS PHARMACEUTICAL, LLC 60258016001 PA REQUIREDRENA-VITE TAB

*Multiple Vitamin Liquid**

GenericGOLDLINE LABORATORIES, INC. 00182610737 THERAVITE LIQ

GenericGOLDLINE LABORATORIES, INC. 00182615140 VITAMIN LIQ

GenericMAJOR PHARMACEUTICALS 00904098516 DAILY VITAMI LIQ

GenericHI-TECH PHARMACAL CO. INC. 50383068304 THERA-PLUS LIQ

*Multiple Vitamin Tab**

GenericGOLDLINE LABORATORIES, INC. 00182442801 ONE-TAB-DAIL TAB

GenericGOLDLINE LABORATORIES, INC. 00182442810 ONE-TAB-DAIL TAB

GenericGOLDLINE LABORATORIES, INC. 00182451806 THERAPEUTIC TAB

GenericGOLDLINE LABORATORIES, INC. 00182451810 THERAPEUTIC TAB

GenericWATSON PHARMA, INC. 00536354701 DAILY VITE TAB


GenericWATSON PHARMA, INC. 00536404610 MULTIVITAMIN TAB

GenericWATSON PHARMA, INC. 00536466010 THEREMS TAB

GenericWATSON PHARMA, INC. 00536466038 THEREMS TAB

GenericUNITED RESEARCH LABORATORIES 00677016301 UNI-DAILY TAB




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

*Multiple Vitamin Tab**

GenericBERGEN BRUNSWIG DRUG COMPANY 24385019672 STRESS FORMU TAB

GenericMCKESSON CORPORATION VALU-RITE 49348010110 SM MULTIPLE TAB VITAMINS

GenericMCKESSON CORPORATION VALU-RITE 49348010119 SM MULTIPLE TAB VITAMINS

GenericMCKESSON CORPORATION VALU-RITE 49348022612 SM STRESS B TAB W/BIOTIN

GenericGEMINI PHARMACEUTICALS, INC. 51645074001 DAILY VITAMI TAB FORMULA

GenericGEMINI PHARMACEUTICALS, INC. 51645074010 DAILY VITAMI TAB FORMULA

GenericPRIME MARKETING LLC 62107003901 ONCE DAILY TAB

GenericPRIME MARKETING LLC 62107003910 ONCE DAILY TAB

GenericPRIME MARKETING LLC 62107006601 THERA TAB

GenericPRIME MARKETING LLC 62107006605 THERA TAB

*Multiple Vitamins w/ Iron Tab**

GenericGOLDLINE LABORATORIES, INC. 00182444001 ONE-TAB-DAIL TAB /IRON NF

GenericGOLDLINE LABORATORIES, INC. 00182449126 STRESS W/ZN TAB NF



GenericUNITED RESEARCH LABORATORIES 00677016401 UNI-DAILY TAB /IRON

GenericBERGEN BRUNSWIG DRUG COMPANY 24385014878 ONE DAILY TAB W/IRON

GenericBERGEN BRUNSWIG DRUG COMPANY 24385014885 ONE DAILY TAB W/IRON

GenericMCKESSON CORPORATION VALU-RITE 49348009412 STRESS B/FE TAB BIOTIN

GenericMCKESSON CORPORATION VALU-RITE 49348010210 SM MULTIPLE TAB VIT/IRON

GenericMCKESSON CORPORATION VALU-RITE 49348010219 SM MULTIPLE TAB VIT/IRON

GenericPRIME MARKETING LLC 62107004001 ONCE DAILY TAB IRON

GenericPRIME MARKETING LLC 62107004010 ONCE DAILY TAB IRON

*Multiple Vitamins w/ Minerals Cap**

GenericWATSON PHARMA, INC. 00536558806 PA REQUIREDANTIOXIDANT CAP

BrandWATSON PHARMA, INC. 00536558908 PA REQUIREDANTIOXIDANT CAP ULTRA

BrandAXCAN SCANDIPHARM, INC. 58914001106 PA REQUIREDAQUADEKS CAP

*Multiple Vitamins w/ Minerals Chew Tab**

BrandAXCAN SCANDIPHARM, INC. 58914001006 PA REQUIREDADEKS CHW

*Multiple Vitamins w/ Minerals Liquid**

GenericGOLDLINE LABORATORIES, INC. 00182614244 CERTAGEN LIQ

BrandKENWOOD THERAPEUTICS 00482001608 APATATE FORT LIQ

BrandKENWOOD THERAPEUTICS 00482011614 THERAPEUTIC SOL

GenericWATSON PHARMA, INC. 00536279059 CEROVITE LIQ

GenericHI-TECH PHARMACAL CO. INC. 50383078608 GOLDEN AGE LIQ VIT/MIN

GenericSILARX PHARMACEUTICALS, INC. 54838001070 CENTAMIN LIQ

*Multiple Vitamins w/ Minerals Tab**

BrandSTIEFEL LABORATORIES, INC, 00145268606 DERMAVITE TAB

BrandMISSION PHARMACAL COMPANY 00178003112 FOSFREE TAB

BrandMISSION PHARMACAL COMPANY 00178003160 FOSFREE TAB

GenericGOLDLINE LABORATORIES, INC. 00182000601 GENERIX T TAB

GenericGOLDLINE LABORATORIES, INC. 00182416201 CERTAGEN TAB



GenericGOLDLINE LABORATORIES, INC. 00182441326 OPTI-GEN TAB

GenericGOLDLINE LABORATORIES, INC. 00182448726 STRESS NF TAB

GenericGOLDLINE LABORATORIES, INC. 00182451906 THERAPEUTIC TAB -M

GenericGOLDLINE LABORATORIES, INC. 00182451910 THERAPEUTIC TAB -M

GenericKENWOOD THERAPEUTICS 00482015490 GLUTOFAC TAB

GenericWATSON PHARMA, INC. 00536344238 CEROVITE ADV TAB FORMULA




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

*Multiple Vitamins w/ Minerals Tab**

GenericWATSON PHARMA, INC. 00536344508 CEROVITE TAB SILVER

GenericWATSON PHARMA, INC. 00536404401 MULTILEX TAB

GenericWATSON PHARMA, INC. 00536406001 MULTILEX-T&M TAB

GenericWATSON PHARMA, INC. 00536417841 I-VITE PROTE TAB

GenericWATSON PHARMA, INC. 00536466110 THEREMS M TAB

GenericWATSON PHARMA, INC. 00536466138 THEREMS M TAB

GenericWATSON PHARMA, INC. 00536475011 UNICOMPLEX-M TAB

GenericWATSON PHARMA, INC. 00536509008 I-VITE TAB

GenericWATSON PHARMA, INC. 00536594701 SUPER HIGH TAB VIT/MIN

BrandWATSON PHARMA, INC. 00536854006 VIT FOR HAIR TAB

GenericUNITED RESEARCH LABORATORIES 00677175001 UNI-THERA M TAB ADVANCED

GenericMARLOP PHARMACEUTICALS, INC. 12939030410 VIGOMAR FORT TAB

GenericBERGEN BRUNSWIG DRUG COMPANY 24385006279 CENTURY TAB /LUTEIN

GenericBERGEN BRUNSWIG DRUG COMPANY 24385006287 CENTURY TAB /LUTEIN

GenericBERGEN BRUNSWIG DRUG COMPANY 24385012778 CENTURY SR TAB W/LUTEIN

GenericBERGEN BRUNSWIG DRUG COMPANY 24385013279 THERAPEUTIC TAB M

GenericBERGEN BRUNSWIG DRUG COMPANY 24385020872 STRESS FORMU TAB W/ZINC

GenericBERGEN BRUNSWIG DRUG COMPANY 24385026098 CENTURY ADV TAB

GenericBERGEN BRUNSWIG DRUG COMPANY 24385051671 ONE DAILY TAB DIET SPT

GenericBERGEN BRUNSWIG DRUG COMPANY 24385067978 MAX ONE DAIL TAB

GenericBERGEN BRUNSWIG DRUG COMPANY 24385068078 WOMEN'S ONE TAB DAILY

GenericBERGEN BRUNSWIG DRUG COMPANY 24385080972 OPTI-VITAMIN TAB

GenericMCKESSON CORPORATION VALU-RITE 49348010323 SM COMPLETE TAB ADV FORM

GenericMCKESSON CORPORATION VALU-RITE 49348010345 SM COMPLETE TAB ADV FORM

GenericMCKESSON CORPORATION VALU-RITE 49348023610 MULTIPLE VIT TAB /WOMENS

GenericMCKESSON CORPORATION VALU-RITE 49348026045 THERAPEUTIC- TAB M

GenericMCKESSON CORPORATION VALU-RITE 49348030912 V-R MEMORY TAB COMPLEX

GenericMCKESSON CORPORATION VALU-RITE 49348031212 V-R WOMENS TAB HEALTH

GenericMCKESSON CORPORATION VALU-RITE 49348033510 SM COMPLETE TAB SENIOR

GenericMCKESSON CORPORATION VALU-RITE 49348033523 SM COMPLETE TAB SENIOR

GenericMCKESSON CORPORATION VALU-RITE 49348054912 SM OPTI-VITA TAB

GenericGEMINI PHARMACEUTICALS, INC. 51645073801 CERTA PLUS TAB

GenericGEMINI PHARMACEUTICALS, INC. 51645073906 CERTA PLUS TAB SENIOR

GenericGEMINI PHARMACEUTICALS, INC. 51645074201 DAILY VIT TAB +MINERAL

GenericGEMINI PHARMACEUTICALS, INC. 51645087510 THERA-M TAB

GenericGEMINI PHARMACEUTICALS, INC. 51645087513 THERA-M TAB

GenericPRIME MARKETING LLC 62107003805 THERA-M TAB

GenericPRIME MARKETING LLC 62107003813 THERA-M TAB

GenericPRIME MARKETING LLC 62107004113 COMPLETE TAB

GenericPRIME MARKETING LLC 62107004506 COMPLETE TAB SENIOR

*Pediatric Multiple Vitamin w/ C & FA Chew Tab**

GenericGOLDLINE LABORATORIES, INC. 00182431401 FRUITY CHEWS CHW NF

GenericWATSON PHARMA, INC. 00536344801 BRONTO-VITES CHW

GenericWATSON PHARMA, INC. 00536430401 POLY-VITAMIN CHW

GenericBERGEN BRUNSWIG DRUG COMPANY 24385027578 ANIMAL SHAPE CHW REGULAR

GenericPRIME MARKETING LLC 62107004701 CHILD CHEW CHW VITAMINS

GenericPRIME MARKETING LLC 62107004710 CHILD CHEW CHW VITAMINS

*Pediatric Multiple Vitamin w/ C Soln 35 MG/ML**

GenericGOLDLINE LABORATORIES, INC. 00182074767 BABY VITAMIN DRO

GenericWATSON PHARMA, INC. 00536845080 POLY-VITAMIN DRO




Brand /

Generic

DRUG CATEGORY

Labeler Name PA

Required

*Pediatric Multiple Vitamin w/ C Soln 35 MG/ML**

GenericHI-TECH PHARMACAL CO. INC. 50383062550 POLY-VITAMIN DRO

GenericSILARX PHARMACEUTICALS, INC. 54838000350 POLY-VITAMIN DRO

*Pediatric Multiple Vitamin w/ Minerals & C Chew Tab 60 MG**

GenericWATSON PHARMA, INC. 00536344308 CEROVITE JR CHW

GenericWATSON PHARMA, INC. 00536781601 POLYVITAMIN CHW IRON

*Pediatric Multiple Vitamin w/ Minerals & C Drops 45 MG/ML**

BrandAXCAN SCANDIPHARM, INC. 58914021460 PA REQUIREDAQUADEKS DRO

*Pediatric Multiple Vitamins w/ Iron Chew Tab 15 MG**

GenericGOLDLINE LABORATORIES, INC. 00182431501 FRUITY CHEWS CHW /IRON

GenericPRIME MARKETING LLC 62107004801 CHILD CHEW CHW IRON

GenericPRIME MARKETING LLC 62107004810 CHILD CHEW CHW IRON

*Pediatric Multiple Vitamins w/ Iron Drops 10 MG/ML**

GenericGOLDLINE LABORATORIES, INC. 00182609567 BABY VITAMIN DRO /IRON

GenericWATSON PHARMA, INC. 00536853080 POLY-VITAMIN DRO /IRON

GenericHI-TECH PHARMACAL CO. INC. 50383063250 POLY-VITAMIN DRO /IRON

GenericSILARX PHARMACEUTICALS, INC. 54838000450 POLY-VITAMIN DRO /IRON

*Pediatric Vitamins ADC Drops 1500 Unit-400 Unit-35 MG/ML***

GenericWATSON PHARMA, INC. 00536850180 TRI-VITAMINS DRO

GenericHI-TECH PHARMACAL CO. INC. 50383063550 TRI-VITAMIN DRO

*Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG***

GenericGOLDLINE LABORATORIES, INC. 00182403901 PRENATAL S TAB

GenericBERGEN BRUNSWIG DRUG COMPANY 24385007878 PRENATAL VIT TAB 27-0.8MG

GenericLEADER 37205039578 PRENATAL TAB 27-0.8MG

GenericMCKESSON CORPORATION VALU-RITE 49348055610 SM PRENATAL TAB

GenericPRIME MARKETING LLC 62107006301 PRENATAL TAB LOW IRON

GenericCHAIN DRUG MARKETING ASSOCIATION, INC. 63868000101 QC PRENATAL TAB 27-0.8MG


Documents

Rebatable OTC Drug List for Maine Medicaid OTC Drugsmainecarepdl.org › sites › default › files › ghs-files › ... · 9/23/2008 · Rebatable OTC Drug List for Maine Medicaid